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ORIGINAL ARTICLE
Year : 2022  |  Volume : 19  |  Issue : 3  |  Page : 60-67

Supracondylar Fracture of Humerus


1 Palakkad District Cooperative Hospital and Research Centre, Palakkad, Kerala, India
2 Department of Orthopaedic Surgery, TD Medical College, Alappuzha, Kerala, India

Correspondence Address:
Manesh Stephen
Palakkad District Cooperative Hospital and Research Centre, Palakkad, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2667-3665.346023

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Introduction: Supracondylar Fracture of Humerus is one of the most common fractures in children. Good results can be obtained in the majority of typical fracture patterns with proper and prompt care. In India, the delay in presentation is a key factor in treatment decision making. This could be due to poor awareness, prior treatment with native bone setters or other care providers. Materials and Methods: Typical Extension type Supracondylar Fracture of Humerus is reviewed here in this article with appropriate current evidence of care. Literature review of the delayed presenting ones and their results were also listed and discussed. Conclusion: It has been proven that good results can be obtained in cases with delay in presentation. This is especially important in the Indian scenario where some delay in presentation can be expected. Emergency reduction and fixation is not necessary unless there is a neurovascular compromise, Fixation patterns for the Gartland Type I to Type III are discussed. The Type IV pattern of fracture with inherent instability of reduction has to be watched for and appropriately stabilised. Radiological landmarks of Bauman's angle, Anterior Humeral Line, which determine whether reduction is satisfactory are discussed in the article.


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