title: Close reduction and percutaneous pinning in displaced supracondylar humerus fractures in children.
abstract: BACKGROUND
  Displaced supracondylar fractures of the humerus in children are common pediatric injuries treated by orthopedic surgeons. They also have a high rate of complications if not reduced and stabilized in optimal position which may lead to serious neurovascular injuries and residual deformity. Amongst the various methods used for treating these fractures, closed reduction and percutaneous pinning has shown improved results.
  
  
  METHODS
  Between March 2005 and April 2010, 277 cases of supracondylar humeral fractures (Gartland grade II and III) with less then 1 week old were included in this study. They were treated with closed reduction and percutaneous pinning with crossed Kirschner wires under image intensifier control. Clinical outcome were assessed according to Flynn's criteria.
  
  
  RESULTS
  The mean age at the time of operation was 6 years (range 2-10 years) and the average duration of follow-up was 4.6 years (range 2.1-7.2 years). The Flynn's criteria were excellent in 202, good in 68, fair in 5 and only 2 with poor results.
  
  
  CONCLUSIONS
  Closed reduction and percutaneous pinning is a sound and effective treatment for displaced supracondylar fractures.
authors.affiliation: Clinical Associate Professor, Department of Orthopaedics, R D Gardi Medical College, Agar Road, Surasa, Ujjain 456006, Madhya Pradesh, India.
authors.forename: Basant Kumar
authors.initials: BK
authors.lastname: Bhuyan
keywords: Closed reduction; Displaced supracondylar fractures; Percutaneous pinning