Abstract:
Objectives & Design: Supracondylar fractures of the humerus in children are the most commonly diagnosed fractures in the childhood. The aim of this study is to evaluate results of surgical treatment of displaced supracondylar fractures of the humerus.
Methods: Between 2006 and 2009, 73 patients who met the inclusion and exclusion criteria of the study were included. Closed reduction and percutaneous pinning was successful in the treatment of 60 children. Open reduction and crossed K- wire fixation was used 13 children after failure of closed reduction.
Results: Patients were followed up for a period varied from 24 to 48 months with an average of 36. Time elapsed from trauma to surgery was less than 6 hours in 28 children with excellent to good results in all of them, in 23 children it was from 6 to 12 hours with excellent to good results in 21 and fair results in 2 children and the remaining 22 children were operated up on within 12-24 hours after trauma with 12 children with excellent to good results, fair in 8 and 2 children had poor outcome.
Conclusions: Percutaneous pinning is a successful tool for treatment of displaced supracondylar fractures of the humerus in children. The time elapsed from trauma to surgery is the most important determining factor as regarding indication for open reduction and complications.