Abstract

The aim of the present study was to compare the outcome of gartland type IIB and type III supracondylar humerus fracture by non-operative vs operative technique. Methods: This was an observational study that includes both conservative and operative cases conducted in the Orthopaedics department of BRD Medical College Gorakhpur, U.P. (India) during August 2021 to July 2022. Total 56 patients (cases) enrolled for the study, out of which 14 cases were treated conservatively and 42 cases by operative methods. 37 cases underwent closed reduction, and 5 cases were managed by open reduction and k-wire fixation. It was a hospital-based study, and all the patients were selected after fulfilling the Inclusion criteria. Results: There were 23.21% cases in the age group 2-5 years and 50% cases were belonged to the age group 6-10 years. The majority of the cases in this study were from the age group 6-10 years. There were 25% cases were females while 75% cases were males. 57.14% cases were having left side involvement and in 42.86% cases have right side participation. The most of the cases had a left-sided involvement. 46.42% cases got injured due to slip, 41.08% cases due to fall from height and 12.5% cases were from the trauma (RTA cases). The most of the recorded cases were from the injury due to slip. In this study 44.64% cases were Gartland type II B fractures and 55.36% cases belonged to Gartland type III fractures. 80.36% cases had an excellent functional outcome after one year follow-up and 19.64% cases with good functional outcome. Conclusion: Treatment of supra-condylar fracture of humerus in children requires methodical or standard reduction techniques followed by casting or k wire fixation. In our series, Gartland type III is most common supracondylar fracture of humerus, with posteromedial displacement most common. X-rays have given early and accurate knowledge necessary for planning and management of supra-condylar fracture of humerus. In this study, we could find that nearly half of total number of cases of Gartland type IIB are manageable by conservative cast. There was significant remodelling of fracture supracondylar humerus

Description