SUPRACONDYLAR HUMERUS FRACTURE FIXATION IN CHILDREN WITH CROSS K-WIRES VS TWO LATERAL K-WIRES
Objective: To assess and compare outcome of supra-condylar humerus fracture fixation in children with cross k-wires
vs. two lateral k-wires
Study design: Prospective quasi-experimental study
Place and duration: Department of Trauma and Orthopedic Khyber Teaching Hospital Peshawar Khyber Pakhtoon Khwa.
Patients and Method: Children with close displaced supra-condylar fracture of humerus. All children with close
displaced Supra-condylar fracture humerus (Gartland type II & type III) were treated with closed reduction under fluoroscopic
control and stabilized with either two lateral k-wires or two cross k-wires. Post-operative above elbow back
slab given for 3-4 weeks. Patients were followed up for clinical and radiological healing of the fracture. After about 4-6
weeks (average 5 weeks) k-wires were removed. At the end of follow-up period Flynn’s criteria was used and outcome
of both types of K-wire fixation compared.
Inclusion and Exclusion Criteria: Open fracture and poly trauma patients were excluded from the study. All children
with closed supra-condylar humerus fracture were included in the study.
Results: A total of 32 patients were enrolled in this study. 14 of them were fixed with two lateral k-wires and 18 with two
cross k-wire technique. There were n=24(75%) male while n=8(25%) were female children. Patients were evaluated by
recording the outcome measures using Flynn’s criteria. There was no significant difference of proportion of excellent,
good and fair between patient groups receiving lateral k-wire fixation and crossed k-wire fixation.
Conclusion: There is no significant difference in the outcome of fracture fixation between the two techniques of k-wire
fixation. In addition ,in lateral k-wire fixation technique there is no risk of ulnar nerve injury but same outcome as cros