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Supracondylar Fracture of Humerus in Children A Follow up Study of Sixty Eight Cases

Author: Saad Sahib AL-Nasir
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2191-2196
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: supracondylar fracture of humerus in children is extremely common. It accounts for approximately (65%) of all fractures and dislocations in children , constituting the most common pediatric elbow fracture .Aim: the aim of this article is to study causes ,pattern ,and outcome of management of this important fracture and how to ovoid and treat its complications.Design: a descriptive case series study, to study the behavior and management of supracondylar fracture of humerus.Patients & methods: our study was designed to study this type of important fracture by careful follow up of sixty eight (68) cases collected from the period (2001-2013) in Karbala, the cases was managed in Emam Hussien Medical City, Alhyndia general hospital and Alabbas private hospital.Result: the peak age of incidence at six years , with male to female ratio of 4:1, type I and II need only conservative treatment . type III (majority need open reduction and internal fixation), stiffness of elbow was the common complication (28%) of cases.Discussion: In our study the peak age of incidence was six, this compared well with reports published elsewhere, 38% of our patients were treated surgically and this also compared well with other articles.Conclusion: supracondylar fracture of humerus need a proper and accurate treatment to avoid complications, and adequate radiological assessment is very important to decide type of management. Complications should be recognized and adequately treated to avoid permanent deformity .Keywords: supracondylar fracture of humerus, Gartland classification, cubitus varus, elbow stiffness.Abbreviations: k.wire: kirschner wire, SCFH: Supracondylar fractures humerus, ORIF: open reduction internal fixation.

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