Background: Supracondylar humeral fractures are the most common fractures around elbow in
children. The incidence is equal in both sexes with left or non-dominant side being most frequently
injured. 96 to 98% are extension type and the exion type is far less common. Displaced supracondylar fractures are notorious
for difculty in reduction, maintenance of reduction and frequent involvement of neurovascular structures. Material and
methods: A prospective observational study was conducted on sixty children with closed displaced supracondylar fracture of
humerus treated with closed reduction and k wire xation, between May 2016 and June 2018. Children aged between 3 and 15
years, radiological nding conrming displaced supracondylar fracture of humerus were included in this study. Children with
less than 3 years of age, physeal injury or intraarticular extension, open fractures, polytrauma of the same limb, previous
fracture of the same elbow, fracture requiring open reduction and inability to give written informed consent were excluded in
this study. All patients underwent closed reduction and percutaneous pinning within 24 hours of admission. The functional
outcome was measured by the range of motion and carrying angle by using Flynn et al criteria. Results: Of 60 patients, 73.3%
had excellent results, 18.3% had good, 5% had fair and 3.3% patients had poor results. Conclusion: Closed reduction and
percutaneous pinning under C arm guidance is a simple and effective method of treatment of displaced supracondylar
fractures of humerus in children with relatively fewer short term complications.
The modified functional comorbidity index performed better than the Charlson index and original functional comorbidity index in predicting functional outcome in geriatric rehabilitation: a prospective observational study
