title: Delayed Open Reduction and K-Wire Fixation of Widely Displaced Supracondylar Fractures of Humerus in Children using Medial Approach.
abstract: BACKGROUND
  Supracondylar fractures of humerus in children are usually treated with percutaneous pinning on emergency basis. When the operating time is delayed, percutaneous pinning is difficult due to massive swelling. Late presentation is common in developing countries.
  
  
  OBJECTIVE
  To assess the outcome of open reduction and internal fixation with K-wire of widely displaced supracondylar fracture when operated later than 2 days after the injury.
  
  
  METHODS
  A total of 52 children (aged 3-12 years) with widely displaced supracondylar fracture of humerus (Gartland type-III) who presented later than 2 days after injury were treated with open reduction through medial approach and fixation with cross K-wires. RESULTs were assessed with Flynn's criteria.
  
  
  RESULTS
  A total of 40 patients completed follow-up. Mean age of all (n=52) patients was 4.8 years (range 3-12 years). Mean delay of presentation was 7.5 days (range 2-14 days). Hundred percent patients had satisfactory results according to Flynn's criteria. Two patients had pin infections.
  
  
  CONCLUSIONS
  Open reduction through medial approach and fixation with two cross K-wires is a reliable method of treatment for supracondylar fractures of humerus in children when the operation is delayed.
authors.affiliation: Associate Professor, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Sanjib
authors.initials: S
authors.lastname: Waikhom
authors.affiliation: Post Graduate Trainee, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Sagnik
authors.initials: S
authors.lastname: Mukherjee
authors.affiliation: Professor, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Irom
authors.initials: I
authors.lastname: Ibomcha
authors.affiliation: Post Graduate Trainee, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Akoijam
authors.initials: A
authors.lastname: Digendra
authors.affiliation: Post Graduate Trainee, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Handboy R
authors.initials: HR
authors.lastname: Sohkhlet
keywords: Bone wires; Child; Humeral fracture surgery