OUTCOME OF CROSSED K-WIRES WITH LATERAL K-WIRES FOR TYPE-III SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN

Abstract

 
Background and Objective: EIbow is the most common site of fractures in children. It accounts for approximately 60% of all injuries in children. These fractures are caused by direct or indirect low energy trauma. Immediate & late complications are common in fracture of this region. The objective of this study was to compare the outcome of two different modes of treatment i.e. crossed K-wires versus lateral wires for 
displaced type-111 supracondylar fracture of Humerus in children. 
Methods: A total of 80 patients having age between 2-13 years with type-III supracondylar fracture of 
Humerus type 111 those fulfilling the inclusion criteria were admitted through emergency department of this 
hospital. All these patients underwent x-rays of the elbow joint both AP & Lat views before the surgery. 
Patients were randomly divided into 2 equal groups. In group A, all fractures were fixed with crossed K-wires 
after reduction of these fractures, one wire from the medial condyle and one from the lateral condyle while in 
group B all fractures were fixed from the lateral condyle with 2 parallel K-wires of 2mm size in a divergent 
way after reduction of these fractures. In both of these groups, all these fractures were reduced closely under 
G/A with the help of image intensifier. 
Results: In group A 62.5% patients presented with type-IIl A while 37.5% presented with type-Ill B 
fractures. In group B 70.0% patients had type-Ill A fractures while 30.0% patients type-IIl B fractures. 
Functional & radiological assessment was done with Baumann's angles & modified Flynn's criteria. At the 
final follow up the Baumann's angle was equal in both of these groups (78.15 + 3.32 in Group A) & (79.1 + 
4.21 in Group B p>0.45). 
Conclusion: This study concluded that there is no statistical significant difference in both modes of treatment 
regarding the stability of fixation and in terms of functional outcomes. However there are more chances of 
ulnar nerve injury with crossed k-wires fixation. 
Key Words: Crossed K-wires, lateral K-wires, percutancous fixation and Supracondylar fractures.