Abstract
Objective: To evaluate the functional outcome of
percutaneous cross two K wires fixation for Gartland
types II and III fractures of humerus.
Methodology: This prospective study included80
patients with supracondylar humeral fracture, who
underwent closed reduction and fixation by two
crossed Kirschner wires. We included children with
age < 15 years with closed fractures with Gartland
types II and III, while the patient with vascular injury,
open, irreducible fractures were excluded. The patients
were following up for 6 months and assessed
functionally by Flynn’s criteria.
Results: The mean age of patients was 8.1 years.
Trauma while child playing was the main mechanism
of injury in 43 (59.8%) children and 46 (57.5%)
fractures were of the type Gartland type III. Union was
achieved between 6-8 weeks in all children. The
functional outcome showed that 40 (50%) patients had
excellent, 24 (30%) good, 16 (20%) fair, and none had
a poor result as per Flyn’s Criteria.
Conclusion: Percutaneous Kirshner wires fixation
results in good functional outcome, short hospital stays
and minimal complications.
Keywords: Closed, percutaneous reduction,
suprcondylar humerus fracture, kirschner wire.
