Outcomes of Percutaneous Cross K-Wire Fixation for the Management of Supracondylar Displaced Fractures of Elbow in Children

Abstract

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

The Aftermath of Floods in Pakistan: An Eco-Humanitarian Crisis

“…However, with torrential rainfalls and water influx equal to ten years of rain resulted into catastrophic floods in the history of the country and as an outcome, all rivers swelled up and swallowed the surrounding villages. With that and almost constant cold weather of this region, it has become drastically difficult for the survivors to manage their lives (Hussain, 2023). Initial estimates by the government denote that damages alongside compensation for the victims will cost around 68 billion rupees as life and livelihood have been damaged to the worse wherein the agriculture of the province and losses of the farmers are quite adverse.…”