Mahmood-ul-hassan, Muhammad Sohaib Khan, Kifayatullah.
Open reduction and internal fixation in the management of late presented cases of displaced paediatric supracondyler humerous fractures.
J Pak Orthop Assoc Jan ;22(2):129-33.

Objective: The objective of this study is to assess the outcome of open reduction and internal fixation (ORIF) in late presented cases of pediatric supracondylar humerus fractures in which closed manipulation has failed. Study Design: Case series. Place and Duration of Study: This study was conducted in orthopedic unit of HayatAbad Medicalcomplex Peshawar from March 2007 to February 2009. Patients and Methods: This study was conducted in orthopedic unit of HayatAbad Medicalcomplex Peshawar from March 2007 to February 2009. During this period 74 children received with pediatric supracondylar humerus fractures presenting late (range 4-10 days), not able to be reduced closely were included in the study. In all these patients open reduction and internal fixation was performed using medial approach. We lost four patients in follow-up.Therefore our present study is based upon the outcome of ORIF in 70 patients. The outcome was assessed in the final follow up, at the completion of nine months following surgery, using Flynn's criteria. Results: Out of total 70 patients who were included in the study 43 (61.43%) were male and 27 (38.57%) were female. Left side was included in 28 (40%) patients. The main delay in presentation was 6 days. The average hospital stay was 52 hours. There were 45 patients with Gartland type III fracture and 25 patients with Gartland type II fracture. According to Flynn's criteria we achieved excellent results in 35 patients (50%), good in16 patients (23%), fair in12 patients (17%) and poor in 7 patients (10%). Conclusions: With in the obtained results, complications and limitations of our study we found that open reduction and internal fixation for pediatric supracondylar humerus fractures presenting late provide satisfactory results with minimal complications and short hospital stay.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com