Surgical Treatment Results in Pediatric Supracondylar Humerus Fractures

Aim: This study aims to evaluate the outcomes of cross fixation with Kirschner wire (K-wire) following closed reduction of displaced supracondylar humerus fractures in children. Materials and Methods: Between December 2012 and June 2015, a total of 32 patients with suprachondral humerus fractures were retrospectively analyzed. Data including demographic data, causes and types of fracture, associated injuries, postoperative complications, radiological parameters, and cosmetic and functional outcomes were recorded. Results: Of the patients, 24 (75%) were male and eight (25%) were female with a mean age of 6.5 years (range: 2 to 12 years). The mean follow-up was 19 months (range: 13 to 26 months). None of the patients developed iatrogenic vascular or nerve injuries. No postoperative complications were observed during follow-up. The functional result according to the Flynn criteria was excellent in 93.4% and good in 6.6% patients, while cosmetic results were excellent in 93.4%, good in 5.2%, and fair in 1.4%. Conclusion: Percutaneous fixation with K-wire following closed reduction of displaced supracondylar humerus is a reliable method which can be applied with high success rates in pediatric cases.