Outcome of treatment of Gartland type lll supracondylar humerus fractures in children by closed reduction and percutaneous pinning vs. open reduction and internal fixation by K-wires

Abstract

Background: Extension fractures are more common than flexion fractures, and were classified into three subgroups by Gartland: type I, with no displacement; type II, with moderate displacement and intact posterior cortex and type III, with complete displacement. According to many authors, the ideal treatment for type 3 supracondylar humerus fractures is closed reduction and percutaneous pinning. Methods: This study was conducted in the department of orthopaedics, Rajendra institute of medical sciences, Ranchi during the period from December 2020 to December 2022. Both male and female patients were included in the study. Implant used are K wires of various diameter ranging from 1.5 to 2 mm. Results: The results with CRPCP are better than ORIF method as far as range of motion of elbow is concerned. Baumann angle were also comparable in both the groups. Conclusions: In our study, in the ORIF group, the ROM of the elbow treated improved with time. There was improvement in the range of motion at the 6-months follow-up as compared to the 3-months follow-up.