DOI: 10.36347/sjams.2021.v09i09.017

Pages: 1406-1410

Background: A displaced supracondylar fracture in children presents a severe degree of injury often associated with potential neurovascular complications. We conducted this study to assess the functional and radiological outcome and complications of supracondylar fractures Gartland type III treated with closed manipulation and Kirschner wire fixation. Methods: We analyze clinical and radiographic data from n = 37 Gartland type III supracondylar fracture children, which was retrospectively collected at Islami Bank Medical College Hospital and multicentered hospital, Rajshahi, Bangladesh, over the 2-year period of January 2019 to December 2020. The average follow-up duration was over 1 year in all cases. Flynn criteria, pain, neurovascular examination and complications were included in the clinical assessment (infection or iatrogenic nerve injuries). In the final radiograph, the humeroulnar angle was measured. Results: The average duration of follow-up was 22 months. The children's average age was 7.4 years. According to Flynn's criteria, functional outcomes in 100% were acceptable and aesthetic results in 89.18% of patients were satisfactory. In 4 (10.8 percent) patients, the results were classified as poor owing to loss of angle. The average angle on the reverse side was 9.40, whereas it was 11.20. The average visual analogue scale (VAS) score was 0 at the last follow-up. Complications associated with the damage were the missing pulse of 3 (8.1%) and 1 (2.7%) primary median nerve paralysis. Complications related to treatment include 3 (8.1%) iatrogenic ulnar nerve paralysis. Conclusion: Closed and percutaneous manipulation Kirschner wire attachment Garland type III supracondylar fracture is a successful technique that is minimally invasive. The wire fixation of Kirschner offered a biomechanically stable fixation, but with an increased risk of ulnar nerve damage.