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SAS Journal of Surgery | Volume-9 | Issue-07
Outcome of Percutaneus K Wire Fixation for Paediatric Supracondylar Humerus Fracture
Dr. Debdulal Debnath, Dr. Md. Reazul Haq, Dr. S M Jihadul Islam, Dr. Tanjimul Islam
Published: July 29, 2023 | 107 122
DOI: 10.36347/sasjs.2023.v09i07.006
Pages: 633-638
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Abstract
Introduction: Elbow joint is the most common part of upper limb involved in pediatric fractures and 85% of which occur in the distal humerus. In distal humeral fractures, supracondylar humeral fractures are very difficult to treat in the pediatric population.-3Frequently, the mechanism of injury is direct or indirect traumas like falls ,on out stretched hand .This type of fracture requires instant diagnosis and proper management, because any undue delay may complicate the condition and treatment. Methodology: This prospective cross-sectional study was carried out at the department of Orthopaedics Surgery in Dhaka Orthopaedics Hospital, Dhaka, Bangladesh from January 2018 to December, 2019. The Ethical clearance of this study was obtained from the ethics committee of the hospital. A written informed consent was obtained from all the patients (by their parents) and a total of, 18 children aged (5-15) years ,with Grade II and III closed supracondylar fractures of humerus were included in this study. The collected data were analyzed using Statistical Package for Social Sciences (SPSS) software, version-23.0. Chi-square tests were performed to compare the results of the follow up, where p<0.05 considered as the level of significance. Results: A total of 18 children were enrolled in this study. According to sex distribution, 12(67%) children were male and 6(33%) children were female. According to age distribution, 12(67%) children were aged (5-10) years and 6(33%) children were aged (11-15) years. The mean age of the children was 9.16 years. The mode age was 7 years and the median age was 9 years. According to fracture classification, 12 (67%) had Gartland class II and 6(33%) children had Gartland class III. According to mechanism of injury distribution,10(55%) children fall while playing, and followed by 5(28%) fall from the height, 2(11%) children met road traffic accident and 1(6%) children had blunt trauma. On an average, the children aged (5-10) years started .......