Abstract

Objective: To evaluate functional and radiological outcomes of pediatric supracondylar humerus fractures treated with delayed open reduction and internal fixation.
Methodology: This retrospective study conducted at SMBBIT analyzed pediatric cases from February 2018 to December 2022. Children aged 6 months to 12 years who underwent surgery two weeks post-injury were included. Exclusions were those with prior surgeries, poly-trauma, open fractures, and those lost to follow-up. Radiological assessments were conducted before and after surgery, and functional outcomes were evaluated using the Flynn criteria at 6 weeks, 12 weeks, and 6 months post-surgery.
Result: Among 49 patients, 98% achieved satisfactory radiological reduction. Functional outcomes showed 61.2% excellent, 24.5% good, and 14.3% fair results. Two complications were noted: cubitus varus and pin track infection.
Conclusion: Delayed open reduction with cross K-wires is effective in late-presenting pediatric fractures, but close monitoring is essential to manage complications.

Key words: Pediatric supracondylar fractures, humerus fractures, delayed union, fracture fixation, internal Kirschner wires.