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Original Article

J Liaquat Uni Med Health Sci. 2015; 14(1): 33-37

Gartlandís Type III Supra Condylar Fracture of Humerus in Children Treated with Open Reduction and Internal Fixation with Cross K-Wire Fixation: A Prospective Study

Dr. Mehtab Pirwani Dr. Abbas Memon Dr. Faheem Memon.

To evaluate the short term results of open reduction and internal fixation with cross k-wires in
type III supracondylar fracture of Humerus in children in our setup.
PATIENTS & METHODS: This prospective study was conducted at Department of Orthopaedic
Surgery & Traumatology, Liaquat University of Medical & Health Sciences, Jamshoro from
March 2012 to March 2014. Total forty-seven patients with type III supracondylar Fracture Humerus
were evaluated in this series. All were treated with open reduction & internal fixation with
cross k-wires. The children followed regularly and the cosmetic and functional results assessed
according to the Flynn criteria.
RESULTS: The mean age in our series was 7.4 years. There were 35 boys and 12 girls. The most
common mode of injury 72.34% was fall during play. In 95.75% of our cases injury was extension
type and in 4.25% flexion type. Grade I pin tract infection was noted in only 3 patients. 69%
cases have excellent cosmetic and functional results, 22% were having good cosmetic and
functional results according to Flynn Criteria.
CONCLUSION: Open reduction and internal fixation with cross k-wires produce excellent to
good results in Gartland type III supracondylar fracture especially in the areas where image intensifier
facilities are limited.

Key words: Gartlandís Type III, Humerus, Supracondylar fracture, Cross K-wires

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