By Pariyo Bonane Godfrey

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Presentation transcript:

Operative Treatment Outcomes Of Displaced Supracondylar Fractures Of the humerus in Children By Pariyo Bonane Godfrey Fort portal Regional Referral Hospital, Uganda June 2016, Eldoret Kenya

FORT PORTAL REGIONAL REFERRAL HOSPITAL

Background Supracondylar fractures of the humerus are common and constitutes about 58% of elbow fractures in Children 97-99% are extension type of injuries Are emergencies with high risk of neurovascular compromise. Fracture reduction and percutaneous pin fixation under fluoroscopy augmented with immobilization for at least three weeks is the standard treatment for Gartlands typeII and III . Insufficient data about operative treatment outcomes in Uganda.

Pre op

Post op

Methods Study Design: Prospective study Study population: Children aged 4-12 years with Gartlands type III supracondylar fractures of the humerus who had open reduction and cross pinning done without fluoroscopy. Sample size: 12 patients were followed up for 3-4 weeks , 8 males and 4 females. Structured quetionears used to capture demographic, clinical and radiological data

Results Females Males

Anatomical Locations of the fractures Left Right

Operative treatment outcomes

Conclusion 8 patients had satisfactory results Few patients with unsatisfactory results and non of them could be considered catastrophic

Study limitations Bowman's angle could not be measured due to un standardized x-rays.

Recommendation A prospective follow up of more patients will be required to provide more evidence.

MANY THANKS & WELCOME TO FORT PORTAL , UGANDA