Abstract

Paediatric supracondylar humerus fractures account for 60% of elbow joint fractures in children. This fracture is most common in the first five years of life and peaks at 5-8. Displaced supracondylar fracture humerus causes frequent management problems for the clinician. This fracture can cause Volkmann's ischemic contracture4, myositis ossificans, neurovascular damage, stiff elbow, and malunion if not properly handled. Closed reduction and casting, skin or skeletal traction, closed reduction and percutaneous k wire fixation, open reduction and internal fixation have all been considered for treating displaced supracondylar fracture humerus in children. Traditional treatment for displaced supracondylar fracture humerus is closed manipulation, reduction, and cast immobilization. Malunion may cause elbow joint stiffness and varus or valgus deformity due to loss of reduction and manipulation capability. Open reduction with internal fixation is used for complicated fractures, fractures requiring vascular exploration, and fractures with poor reduction. The most common treatment for displaced supracondylar fracture humerus is closed reduction and percutaneous pinning, according to research. Our observations show that closed reduction with percutaneous pinning and k-wire fixation is safe and effective for displaced supracondylar humerus fractures. Kids aged 5-10 were most involved. Most injuries result from falls while playing. Closed reduction with percutaneous pin fixation improves function and appearance in children with displaced supracondylar humerus fractures. It reduces hospital stays and treatment expenses. It decreases patient morbidity and dependence. Cubitus varus, the most common supracondylar humerus fracture consequence, is rare with this treatment. Pin-securing a swollen elbow beyond 90 degrees can avoid vascular impairment.

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