J Korean Fract Soc.
1999 Jan;12(1):187-193.
The Results of the Percutaneous K-wire Fixation for the Supracondylar Fractures of the Humerus in Children
- Affiliations
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- 1Department of Orthopedic surgery, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea.
Abstract
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The cases of 160 patients who had a displaced supracondylar fracture of the humerus were reviewed retrospectively. According to the Flynn's criteria, the results of treatment were excellent 33%, good 53%, fair 10%, poor 4%. No neurovascular complication was appeared. In two cases, cubitus varus deformity was appeared to be related with incorrect reduction. We believe that percutaneous k-wire fixation is excellent method in treatment of the displaced supracondylar fractures in children. There was no significant difference of clinical results among methods of percutaneous K-wire fixation but lateral 2 and medial 1 cross pinning has advantages : easy technique in insertion of lateral 2 pins, biomechanical stability and removal of medial pin in the irritation of ulna nerve without significant influence of stability.