Close reduction and percutaneous pin fixation in displaced (Type-III) supracondylar fractures of humerus in children surgical outcomes and comparison with other study

Aim: to evaluate the results of close reduction and percutaneous pin fixation in displace supracondylar fractures of humerus (type-iii) in children in our population. place and duration of study: allama iqbal memorial teaching hospital/kms medical college and national bone and joint hospital,sialkot from june 2008 to december-2013. method: 65 children,42 boys and 23 girls with age range between 03 to 11.5 years were treated with close reduction and percutaneous pinning of humerus having type-iii supracondylar fractures of elbow joint. the time duration of trauma and presentation in emergency department range between 04 to 48 hours. the right side was involved in 48 children (73%) and left side in 17 children (26%). close reduction and percutaneous pin fixation was done in all patients. all patients were discharged in the same day or next day of surgery. the patients were evaluated post operatively radiologically as well as clinically using flynn's criteria. usual complications as mentioned in the literature were also studied. out of 65 patients operated 52 patients (80%) have excellent results,07 patients (10.75%) good,02 patients (03.7%) fair and 04 patients (6.5%) have poor results. conclusion: closed reduction and percutaneous pin fixation in gartland type-iii supracondylar fracture is most effective,reliable,low cost,less time consuming with negligible complication rate and early recovery. it is safe and effective method in managing this type of difficult fractures.