Supracondylar Fracture of Humerus in Children A Follow up Study of Sixty Eight Cases
Kerbala Journal of Medicine,
Volume 8, Issue 2, Pages 2191-2196
Abstractbackground: supracondylar fracture of humerus in children is extremely common. It accounts for approximately (65%) of all fractures and dislocations in children , constituting the most common pediatric elbow fracture .
Aim: the aim of this article is to study causes ,pattern ,and outcome of management of this important fracture and how to ovoid and treat its complications.
Design: a descriptive case series study, to study the behavior and management of supracondylar fracture of humerus.
Patients & methods: our study was designed to study this type of important fracture by careful follow up of sixty eight (68) cases collected from the period (2001-2013) in Karbala, the cases was managed in Emam Hussien Medical City, Alhyndia general hospital and Alabbas private hospital.
Result: the peak age of incidence at six years , with male to female ratio of 4:1, type I and II need only conservative treatment . type III (majority need open reduction and internal fixation), stiffness of elbow was the common complication (28%) of cases.
Discussion: In our study the peak age of incidence was six, this compared well with reports published elsewhere, 38% of our patients were treated surgically and this also compared well with other articles.
Conclusion: supracondylar fracture of humerus need a proper and accurate treatment to avoid complications, and adequate radiological assessment is very important to decide type of management. Complications should be recognized and adequately treated to avoid permanent deformity .
Keywords: supracondylar fracture of humerus, Gartland classification, cubitus varus, elbow stiffness.
Abbreviations: k.wire: kirschner wire, SCFH: Supracondylar fractures humerus, ORIF: open reduction internal fixation.
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