Childhood Supra Condylar Fracture of Humerus, Managed by Percutaneous K-Wire under C-Arm, under General Anesthesia

Résumé

Background: Supracondylar fractures of the humerus are the most common type of elbow fractures in children, typically occurring between the ages of 3 and 12 years. Among the various treatment options, closed reduction followed by percutaneous K-wire fixation under fluoroscopic guidance has emerged as the gold standard for displaced fractures. Methods and materials: This prospective observational study was conducted in the Department of Orthopedics at Aichi Medical College, Dhaka, Bangladesh, from January 2022 to December 2022, and included 40 pediatric patients aged 3 to 12 years presenting with closed supracondylar fractures of the humerus. Data were entered and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.0. Result: In this study of 40 children with supracondylar humerus fractures, the most common cause was fall from a tree (35%), with left-sided (57.5%) and Gartland type III (67.5%) fractures being more frequent. Lateral K-wire fixation was used in 60% of cases, and 65% underwent surgery within 6–24 hours. Complications were minimal, with 5% developing pin tract infections and 7.5% experiencing mild motion restriction. Based on Flynn’s criteria, 82.5% had excellent, 12.5% good, and 5% fair outcomes, confirming the procedure’s effectiveness and safety. Conclusion: The present study demonstrates that closed reduction and percutaneous K-wire fixation under C-arm guidance and general anesthesia is a safe, reliable, and effective method for managing pediatric supracondylar fractures of the humerus.