J Korean Fract Soc.  2003 Jul;16(3):392-398. 10.12671/jksf.2003.16.3.392.

Displaced Supracondylar Fractures of the Humerus in Children Treated by Percutaneous Lateral K-wire Pinning

• Lee SH
• Park SW
• Lee KS
• Baek JR
• Lee SW

• KMID: 1999365
• DOI: http://doi.org/10.12671/jksf.2003.16.3.392

Abstract

PURPOSE: For the treatment of displaced children supracondylar fractures, closed reduction and lateral pinning were performed consecutively and their results were analyzed.
MATERIALS AND METHODS
During the period from January 1997 to May 2001, all children with displaced supracondylar fractures of the humerus were treated by closed reduction and lateral K-wire pinning. Among them, 44 fractures with more than 1 year follow up were selected. Carrying angle and range of motion were measured. Baumann angle and lateral humerocapital angles were measured from the anteroposterior and lateral radiograph 3 times (immediate post op, K-wire removal, last follow up).
RESULTS
Results were graded according to the criteria of Flynn et al. using both cosmetic and functional evaluation. According to the cosmetic factor, 36 cases (82%) were excellent and 8 cases (18%) were good. According to the functional factor, 39 cases (88%) were excellent and 5 cases (12%) were good. No statiscally significant differences, as seen on Baumann and humerocapital angle, between immediate post operative films and films taken at the time of K-wire removal (p=0.082, p=0.27). There was no significant differences in Baumann and humerocapital angle at the time of K-wire removal and last follow up (p=0.19, p=0.27).
CONCLUSION
Closed reduction and lateral K-wire pinning is considered as an acceptable modality of the treatment of displaced children supracondylar fractures.

Keyword

Humerus; Supracondylar fracture; Lateral K-wire pinning

MeSH Terms

Child*
Follow-Up Studies
Fractures, Closed
Humans
Humerus*
Range of Motion, Articular