J Korean Fract Soc.  1997 Jan;10(1):203-210.

Comparison of the Treatment of Displaced Extension Type Supracondylar Fractures of the Humerus in Children

• Ihn JC
• Park BC
• Kyung HS
• Oh CW
• Kim HS

Abstract

The treatment of supracondylar fracture of humerus in children has so many pitfalls as to be once called - supracondylar dilemma -. The authors analyzed the follow up results of 53 displaced extension type supracondylar fractures treated by closed reduction and cast, closed reduction and percutaneous pinning, skeletal traction and open reduction from 1993 to 1995. The following results were obtained : 1. Closed reduction and percutaneous pinning produced the best radiographic and clinical result by Flynns criteria when compared to other methods. 2. No difference in radiographical stability was found between percutaneous pinning with one medial and one lateral pin as opposed to two lateral pins. 3. There was a strong correlation between the change in Baumanns angle and the carrying angle(p=0.03).

Keyword

Displaced supracondylar fracture; Treatment; Children

MeSH Terms

Child*
Follow-Up Studies
Humans
Humerus*
Traction