MID-LONG term results of surgically treated pediatric humerus supracondyler fractures

Mid-Long term results of surgically treated pediatric humerus supracondylar fractures Abstract: Supracondylar humerus fractures are one of the most common fractures of children. These fractures are one of the hardest issues of Orthopeaedic Surgeons who don't like to face with due to the complicated neurovasculer anatomy of the elbow and too much complication rate of them pre and post operatively. In our study we compared the surgically treated supracondylar fractures of humerus with healthy elbow and aimed to see the functional and cosmetic mid-long term results in the light of the literature. Material and Methods: The surgically treated patients who had pediatric supracondylar fracture of humerus invited to our clinic for last examination by telephone. 46 patients who had accepted our invitation and examined in our outpatient clinics ; evaluated clinically and radiologically. Results: Twenty three (%50) of the patients were male and 23 (%50) of them were female. The mean age of the patients were 6.52. 14 (%30) of the patients were treated with closed reduction however , 32 (%70) of them were terated with open reduction. Patients' elbows' carrying angles, range of motions , Baumann's angles, humeroulnar angles and lateral humerocapitellar angles were measured and compared with the healthy sides. Patients were evaluated with Flynn's Criteria and Mayo Elbow Perfomance Scores. 29 patients (%63) were perfect, 10 patients (%21.7) were good, 2 patients (%4.3) were moderate and 5 patients (%10.9) were bad for Flynn's cosmetic scores ; 42 patients (%91.3) were perfect, 1 patient (%2.2) was good, 1 patient (%2.2) was moderate and 2 patients (%4.3) were bad for Flynn's functional scores. 29(%63) patients were very good, 16 patients (%34.8) were good and 1(%2.2) patient was moderate for Mayo Elbow Performance Score. Conclusion: The pediatric supracondylar humerus fractures are one of the most complicated and hard topics of Orthopaedics and Traumatology. Results of the treatment with Open/Closed reduction, Lateral/Medial pinning with Kirschner wires are close to each other. The final word is ; the surgeon has to choose the way that he/she best knows , try the best possible reduction of the fracture and treat the patients with the lowest complication. Key words: Humeral Fractures, Trauma, Kirschner Wires