Pediatric Type III Supracondylar Humeral Fracture

How Many K Wires do we Need in the Surgical Treatment of Pediatric Type III Supracondylar Humeral Fracture?

The purpose of this study was to compare pin configuration effects on early secondary displacement in the surgical treatment of pediatric supracondylar humeral fractures (SCHF).

The study consisted of 100 (68M, 32F) children who underwent surgery between 2010 and 2013 for Gartland Type 3 (SCHF). The patients divided into five groups according to the top in configurations (crossed 1 lateral 1 medial, crossed 2 lateral 1 medial, crossed 1 lateral 2 medial, 2 lateral divergent, and 3 lateral divergent). The average age at the time of injury was 7.34 (between 2 and 14 years). Bauman angle (BA), Humerocapital angle (HCA), Anterior humeral line (AHL), flexion range, extension range, and Carrying angle (CA) were compared at preoperative, postoperative 1st-day, postoperative last control, and non-operated side. The mean follow-up time 24,96±11,06 with a range of 12-54 months.

Inclusion Criteria

• Pediatric Gartland Type 3 supracondylar humeral fracture
• Patients operated between 2010-2013
• Patients under 16 years old

Exclusion Criteria:

• Pathological fractures
• Conservative treated supracondylar fractures
• Less than the 1-year follow-up
• Patients with incomplete postoperative follow-up
• Patients older than 16 years
• Pediatric Gartland Type 1 and 2 supracondylar humeral fracture