SUPRACONDYLAR FRACTURES

COMPARISON OF MEDIAL AND LATERAL APPROACH FOR FIXATION OF HUMERUS IN CHILDREN

Abstract

Objective:- To determine the surgical approach most suited in our setup and evaluate the results based on the functional and cosmetic outcome especially in the range of motion,the subsequent defromity, if any, and the carrying angle. Setting Orthopaedic surgery, Nishtar Hospital, Multan. Duration Two years, Study design Quasi experimental type of study. Material & Methods Thirty patients. Sampling technique Non-probability technique. Results The age of the patients included in our study ranged from 4-10 years with a mean age of 5.93 years in group A and 6.66 years in group B. Out of 30 patients in group-A and 11 (73.3%) males and 4(26.6%) in group B had fracture on right side where as 12(80%) in group-A and 11(73.3%) in group-B got injured due to fall from height. One (6.66%) patients from group-A and B had superficial wound infection. Pin tract infection was found in 1(6.66%) in group A and 2(13.33%) patients in group-B. Conclusion: This technique was easy to perform and proved to be safe, although hospitalization time was minimum in both groups. So we recommend medial approach for open reduction and internal fixation of all displaced supra-condylar fractures of humerus in children with appropriate indications.