Treatment of flexion-type supracondylar humeral fracture in children.
OBJECTIVE
To assess the results of treatment for flexion-type supracondylar humeral fracture in children.


METHODS
The treatment of 14 children with flexion-type supracondylar humeral fracture was reviewed. Severity was classified according to the Gartland system for extension-type fractures. Type-I fractures were treated with immobilisation in an extension cast. For type-II and -III fractures, closed reduction was first attempted followed by percutaneous pinning. If closed reduction failed, open reduction and internal fixation was performed.


RESULTS
Patients were followed up for at least one year (range, 14-36 months). Treatment results were excellent in 7 patients, good in 4, fair in 3, and poor in none. Patients were pain-free and satisfied and none suffered any activity restriction.


CONCLUSIONS
Closed reduction and percutaneous pinning is a good treatment option for type-II and -III flexion-type supracondylar humeral fractures.
Garg
B
B
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India. drbhavukgarg@gmail.com
Pankaj
A
A
Malhotra
R
R
Bhan
S
S
D001858:Bone Nails; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D017060:Patient Satisfaction; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome