Introduction: The median axes of the arm and forearm form an angle known as carrying angle when fully supinated and extended. This posture is crucial while carrying objects because it enables the forearms to pass across the hips in swing motions when walking Objective: To find out the mean carrying angle of elbow in children less than ten years of age. Methodology: This study was Cross Sectional Study carried out at the Outpatient Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar for duration of six months from 20 Dec, 2021 to 20 Jun, 2022. Goniometer was used for the measurement of the carrying angle. All information such as age, height, weight, length of arm, and carrying angle was documented in a pre-designed Performa. Results: Totally, 250 children were included in this study. On the basis of gender wise distribution, 194 (77.6%) children were recorded as male children and 56 (22.4%) children were recorded as female children. The mean (SD) age, height, length of forearm, weight and carrying angle was 6 (1.05) years, 105.5 (3.75) cm, 18.2 (2.23) cm, 12 (2.84) kg and 8.5 (0.82) degree respectively. Significant association of carrying angle was observed with height, weight, forearm length and limb dominancy (p≤0.05). Conclusion: Our study concluded that age, gender, height, weight and dominant side are important factors that affect the value of the carrying angle. Keywords: Elbow; Carrying Angle; Correlation
Background: It is estimated that about 16–17 percent of all fractures in pediatric patients are supra-condylar fractures of the elbow. Different techniques are used for the management of supracondylar displaced fractures of elbow in children. Objective: To find out the outcomes of percutaneous cross- K-wire fixation for the management of supracondylar displaced fractures of elbow in children Methodology: This descriptive cross sectional study was carried out at Orthopedic Department of Khyber Teaching Hospital Peshawar for duration of one year from June 2021 to July 2022. A total of 80 patients were included in the current study. All the patients were followed for up to six months. At last follow-up, all patients were evaluated using Flynn's criteria. All the data analysis was done by using IBM SPSS version 23. Results: On the basis of Flynn’s criteria, excellent results were observed in 54 (67.5%) patients, good results in 20 (25%) patients, fair results in 4 (5%) patients while poor results were observed in 2 (2.5%). Based on the post-operative associated problems, pin-tract infections were observed in 7 (8.75%) patients, cubitus varus deformity was observed in 2 (2.5%) and temporary ulnar nerve deficit was observed in 5 (6.25%) patients. Conclusion: Our study concludes that in children, type-II & III supra-condylar displaced fracture of elbow can be managed easily and effectively with a low rate of complications. Keywords: Percutaneous cross- K-wire fixation; Supracondylar displaced fractures; Elbow
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