Naji Ullah Khan, Zahid Askar, Faheem Ullah.
Type-iii supracondylar fracture humerus: results of open reduction and internal fixation after failed closed reduction.
Rawal Med J Jan ;35(2):156-9.

Objective: To evaluate short term results of open reduction and internal fixation after failed close reduction in Gartland Type III Supracondylar fracture of humerus in our institution. Patients and Methods: This prospective study was conducted at the Orthopedic Department of Khyber Teaching Hospital, Peshawar from January, 2008 to March, 2009. Seventy-five patients of type-III supracondylar fracture of humerus were included in the study. Informed consent was obtained from all patients. Under general anesthesia, closed reduction was attempted first. After failure of closed reduction, an open reduction and internal fixation with cross K-wires was performed. Fortnightly follow up was carried out for two months then monthly for six months. The clinical outcome was assessed using Flynn criteria. Results: Out of 75 patients, 47 were male and 28 were female. Left side was involved in 52 patients and right side in 23. Mean age was 6.7 years with age range from 3 to 12 years. Excellent or good results were obtained in 70 (93.3%) patients and fair or poor in 5 (6.7%). Conclusions: We conclude that these fractures need to be managed aggressively and open reduction and internal fixation of severely displaced supracondylar fractures of the humerus is a safe option when a satisfactory reduction cannot be obtained by 2-3 attempts on closed method. (Rawal Med J 2010;35:156-159).

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