European Journal of Molecular & Clinical Medicine

Abstract

The aim of this study is to study outcome in posteromedial and posterolateral displaced supracondylar fracture humerus post operatively. All procedures and protocols used in this study had been approved by the medical ethics committee of our institution. Children with fractures are usually first seen in the casualty unit. The orthopaedic doctor on call will examine the child, assess the vascular and neurological status, and review the radiographs of the elbow. Evaluation of the neurology and vascular status was repeated in the ward. After obtaining the informed consent for the study and surgery, the patients would be kept fasted for surgery.
Result: There were only 10 patients in whom the result was rated as fair: 08 had posteromedial displacement and 02 had posterolateral displacement. 02 patients rated as poor, had posteromedial displacement.
Conclusion: From this prospective study, we concluded that high rates of neurovascular complications in supracondylar humerus fracture in children demand High index of suspicion in this fracture especially in POSTEROMEDIALLY displaced fractures. Posteromedialy displaced supracondylar fracture humerus should be considered as a red flag sign for neurovascular complications. Also better functional outcome is associated with cross k-wire fixation in Posterolateral displaced fracture.