title: Open Reduction and Internal Fixation of displaced Supracondylar Fractures of Humerus with Crossed K-wires via Medial Approach.
abstract: This study aimed at evaluating the medial approach for open reduction and internal fixation of Gartland type 3 displaced supracondylar fractures of humerus in children. A prospective, single centre study of on displaced supracondylar humerus fractures in 42 children was carried out at our institute. All fractures were managed with open reduction and internal fixation with crossed K-wires via medial approach. The mean follow-up was 12 months and patients were assessed according to Flynn's criteria. No patients had post-operative ulnar nerve injury. Cubitus varus was not seen in any patient. Superficial pin tract infection occurred in three patients that subsided with anti-septic dressings and antibiotics. No deep infection occurred. 88.09 % patients showed satisfactory results as per Flynn's criteria. The medial approach provides an excellent view of the supracondylar area. The approach is convenient due to a lower risk for ulnar nerve injury and better acceptability of the medial incisional scar.
  
  
  BACKGROUND
  Type 3 supracondylar fracture humerus, medial approach, crossed K-wire fixation, medial column comminution.
authors.affiliation: Department of Physical Medicine & Rehabilitation,Sheri-Kashmir Institute of Medical Sciences, Soura, India.
authors.forename: S
authors.initials: S
authors.lastname: Hussain
authors.affiliation: Department of Physical Medicine & Rehabilitation,Sheri-Kashmir Institute of Medical Sciences, Soura, India.
authors.forename: S
authors.initials: S
authors.lastname: Dhar
authors.affiliation: Department of Physical Medicine & Rehabilitation,Sheri-Kashmir Institute of Medical Sciences, Soura, India.
authors.forename: A
authors.initials: A
authors.lastname: Qayoom