Outcomes Of Open Reduction And K-Wire Fixation Of Late Presenting Paediatric Supracondylar Humeral Fractures Using Inverted V-Y Tricepsplasty Approach and Calloclasis
Open Reduction And K-Wire Fixation Of Late Presenting Paediatric Supracondylar Humeral Fractures
Keywords:
Supracondylar Humeral Fractures, Late Presentation, Osteoclasis, TricepsplastyAbstract
Background: Supracondylar humerus fracture is a common paediatric injury. The current preferred treatment option for the displaced supracondylar fracture is early closed reduction and percutaneous pinning. Neglected displaced fractures of supracondylar humerus are becoming common in developing countries like India. Hence we prospectively evaluated the results of 10 malunited and neglected paediatric supracondylar humeral fractures using inverted V-Y tricepsplasty approach and callus osteoclasis (Calloclasis). Material and Method: This prospective study included 10 extension type malunited paediatric supracondylar fractures that were operated from September 2017 to September 2018. Exposure of the distal humerus was done using Posterior inverted V-Y tricepsplasty approach. The entire callus tissue was circumferential removal, anatomic reduction of the displaced bony fragments was achieved and then fixation with one/two Kirschner wires was done. K-wires were removed at around 3rd/4thweek postoperatively and patients were followed up monthly up to the 6 months. Result: All fractures united in a mean duration of 7.1 weeks. At last follow-up after 6 months on average, 9 (90%) patients had satisfactory outcomes. Restricted range of motion was noted in 1 patient which had unsatisfactory result. Conclusion: Open reduction with pinning is preferred technique in patients presenting with late supracondylar fracture humerus with removal of callus and correcting deformity at the same time [Vala P Natl J Integr Res Med, 2019; 10(1):36-39]
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