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TRAUMATOLOGY
Year : 2006  |  Volume : 40  |  Issue : 2  |  Page : 103-107

Supracondylar fractures in children-closed reduction vs open reduction


Department of Orthopedics, SGTB Hospital, Government Medical College, Amritsar, India

Correspondence Address:
D S Pandher
H.No. B-II, 674/75, Dojian Street, Nabha. Pin: 147201
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34451

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Back ground: Supracondylar fracture is the most common fracture around the elbow in children of the age group 5-10 yrs. The issue of open reduction in such fractures is always a matter of debate as even closed reduction gives satisfactory results. However the present study of 50 cases aims to highlight the benefits of open reduction over closed reduction in such cases. Methods: Patients were divided into two groups, 25 cases (group I) were treated by ORIF using K-wires while 25 cases (group II) were treated by closed reduction and P.O.P. splint in pronation. Group I patients were treated under G/A by two mini incisions medial and lateral and fragments fixed with K-wires. Post­operatively P.O.P. back splint was given. In both groups, the back splint was discarded after three weeks and active exercises encouraged. Results: Minor complications as superficial infections and pin tract infection were observed in group I patients. However variation of carrying angle (cubitus varus) was more in group II. Limitation of movement was more in group II due to mal-rotation and anterior ledge formation, not seen with open reduction group. Conclusion: We conclude from above series that ORIF of supracondylar fracture is better than closed reduction as incidence of malunion is less and range of motion near normal as compared to closed reduction.


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