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To evaluate the short term results of open reduction and internal fixation with cross k-wires in
type III supracondylar fracture of Humerus in children in our setup.
PATIENTS & METHODS: This prospective study was conducted at Department of Orthopaedic
Surgery & Traumatology, Liaquat University of Medical & Health Sciences, Jamshoro from
March 2012 to March 2014. Total forty-seven patients with type III supracondylar Fracture Humerus were evaluated in this series. All were treated with open reduction & internal fixation with
cross k-wires. The children followed regularly and the cosmetic and functional results assessed
according to the Flynn criteria.
RESULTS: The mean age in our series was 7.4 years. There were 35 boys and 12 girls. The most
common mode of injury 72.34% was fall during play. In 95.75% of our cases injury was extension type and in 4.25% flexion type. Grade I pin tract infection was noted in only 3 patients. 69%
cases have excellent cosmetic and functional results, 22% were having good cosmetic and
functional results according to Flynn Criteria.
CONCLUSION: Open reduction and internal fixation with cross k-wires produce excellent to
good results in Gartland type III supracondylar fracture especially in the areas where image intensifier facilities are limited.
Mehtab Pirwani, Abbas Memon, Faheem Memon. (2015) Gartland’s Type III Supra Condylar Fracture of Humerus in Children Treated with Open Reduction and Internal Fixation with Cross K-Wire Fixation: A Prospective Study, Journal of Liaquat University of Medical and Health Sciences, Volume-14, Issue-1.
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