DOI: 10.36347/sjams.2017.v05i02.051

Pages: 561-565

Among all the fractures in upper limb in children, supracondylar fractures of the humerus are more common injuries. In general the fractures of children are treated conservatively. But the management of supracondylar fractures has evolved over years from conservative to more aggressive approach operative techniques. The study was conducted in children's presenting with highly committed supracondylar fractures to Adichunchanagiri Institute of Medical Sciences, B.G. Nagara between Jan 2014 to Dec 2016.Twenty of such fractures cases were selected in the study and underwent Closed Reduction And K-Wiring. Patients from6-12years were taken for the study. Patients were followed up every week X-rays were taken 4weeks. The study consisted of 20 highly committed supracondylar fractures cases, among them were males and 3 were females. The patients were between the age of 6 to12years.Among them 16 children were in the age group of 6-10 years and 4 were in the age group of 10-12 years. Among the 20 cases 15 were Left sided and 5 were Right sided. All patients had achieved clinical and Radiological union at 4 weeks. According to Flynn's criteria, 19 (95%)cases had excellent results and one(5%)had good results. Closed reduction and K-wiring had very good results for highly committed supracondylar fractures of humerus in children than conservative/open reduction methods. With correct anatomical knowledge, perfect reduction and good operative skills closed reduction and K-wiring for peaditric highly committed supracondylar fractures has excellent results.