![]() Complications in splint immobilzation method were cubitus varus deformity 2 cases, nerve injury 2 case, and in k-wire fixation method, nerve injury 5 cases and pin migration 1 case. ![]() Functional results according to degree of initial displacement was worse in some displaced(Grade II) cases, rather than total displaced (Grade IV) or displaced with rotation (Grade III) cases. In the treatment of fracture, 31 cases(49.2%) were treated with closed reduction and percutaneous pinning, 26 cases(41.3%) were treated with closed reduction and splint immobilization, 3 cases(4.8%) were treated with open reduction and K-wire fixation, 3 cases(4.8%) were treated with skeletal traction. Position the patient in a slightly oblique manner on the table such that the shoulder lies outside the table. ![]() Patient position depends upon the surgeon’s experience, the table, and the image intensifier. In oblique fractures redisplacements were more common in P-A oblique csse. The two most popular patient positions for operative treatment of proximal humeral fractures are the beach chair and the supine position. In oblique fracture, postero-anterial oblique fractures were 19 cases(30.2%), medio-lateral oblique fractures 3 cases(4.8%), and latero-medial 2 cases(3.2%). Transverse fractures were 39 cases(61.9%) and oblique fractures were 24 cases(38.1%). According to age distribution lower age group involves the distal part and higher age group involves proximal part. Trans-olecranon fractures were 47 cases(74.6%), proximal to olecranon fractures were 11 cases(17.5%) and distal to olecranon fractures were 5 cases(7.9%). Fracture level was divided into 3 Groups. In extension type, displacement was posteromedial 30 cases(47.6%), posterolatera117 cases(26.9%), posterior 10 cases(15.9%) and undisplaced 5 cases(7.9%). 62 cases(98.4%) were extension type and 1 case(1.6%) was flexion type. The average age was 6.5 years ranged from 1 year 3 months to 14 years and sex ratio was 2.2: 1(M:F) 2. Humeral shaft fractures account for about 3 of all fractures. In a retrospective survey of 155 children with supracondylar frscture of the humerus, 63 cases were found to have sufficient clinical and retrospective data to classify the fracture. A direct blow commonly causes fractures that occur in the middle third of the shaft of the humerus. Supracondylar fracture of humerus is the most common fracture about the elbow in children and much has been written about its treatment and the prevention of both Volkmann's ischemia with contracture and cubitus varus deformity.
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