title: Surgical management of the severely displaced supracondylar fracture of the humerus in children.
abstract: We reviewed 44 children with a widely displaced supracondylar fracture of the humerus (Gartland grade III) treated with primary open reduction and cross pinning. The average age was 8 years and the mean delay in presentation was 34 h. Comminution of the medial supracondylar pillar was seen in 57% of the cases. After treatment, the range of the elbow motion was restricted in eight patients. Cubitus varus was not seen. There was no deep infection or myositis ossificans. Post-operatively, five children had a temporary nerve palsy. According to Flynns' criteria, 42 patients had a satisfactory outcome.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Ritabh
authors.initials: R
authors.lastname: Kumar
authors.forename: E Krishna
authors.initials: EK
authors.lastname: Kiran
authors.forename: Rajesh
authors.initials: R
authors.lastname: Malhotra
authors.forename: S
authors.initials: S
authors.lastname: Bhan
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D001864:Bone Wires; D002648:Child; D004551:Elbow Joint / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome