Publication:

A comparative study between closed vs open reduction of type 3 supracondylar fracture of humerus fixed with K wire in children

Background Supracondylar fracture of humerus is one of the most common fractures in upper limbs in children’s, more common in male child and peak age between 5 to 10 years. Object of this study was to compare the outcome between open vs closed reduction with K wire fixation for supracondylar fracture of humerus.

Methods Children with type 3 supracondylar fracture of humerus were categorized in to group A (closed) and group B (open). All children were followed for 6 months and outcome of treatment was evaluated using Flynn΄s criteria.

Results The study consisted of 35 types3 supracondylar fractures. Group A (closed reduction) had 20 cases, among them were 15 males and 5 females. Group B (open reduction) had 15 cases, among them were 12 males and 3 females. Peak age between 5-10 years and male preponderance in both groups.

Conclusions Closed reduction and K wire fixation had very good results for type 3 supracondylar fractures of humerus in children than open reduction. In cases where proper/satisfactory closed reduction not achieved open method used.