Relevance of baumann's angle with complications after management of supracondylar fractures of humerus in children

Vikas, Jaspal Singh, Partap Singh Verka, Junior Resident
2016 Indian Journal of Orthopaedics Surgery   unpublished
A prospective study of 30 patients with supracondylar fractures of humerus of both sexes and below 15 years of age managed by different ways i.e. close reduction with pop cast application, close reduction with kirschner wire fixations and open reduction with kirschner wire fixation with aim of finding relevance of Baumann's angle in assessing the malalignment of supracondylar humerus fracture, comparison the Baumann's angle after different ways of managing supracondylar fractures humerus in
more » ... dren and to find complications between different techniques. Patients were followed up over a period of 6 months, evaluated both clinically and radio logically. Result of study shows the negative correlation between the Baumann's angle and carrying angle. Baumann's angle at last follow up in CR/POP SPLINT group was 76.5+2.121 (mean and standard deviation), In CRIF group was (74.4+4.5) mean and standard deviation and in ORIF group was (76.6+4.40) mean and standard deviation (p value 0.201) not significant, and in our study of 30 patients, 2 cases of pin tract infection observed in CRIF group (13%) and 3 cases of pin tract infections in ORIF group(23%) (chi square 0.905, p value 0.636 not significant), no case of anterior ledge formation observed in CR/POP SPLINT group and CRIF group but one case in ORIF group(7.6%) chi square 1.35, p value 0.508(non significant), no case of cubitus varus observed in CR/POP SPLINT group, 2 cases cubitus varus observed in CRIF group(13.33%) and 2 cases in ORIF group(15.38%) chi square 0.355, p value 0.837(not significant). So the result of our study showed negative correlation between the Baumann's angle with carrying angle and no significant difference on Baumann's angle and in complications at last follow up by different ways of treatment in supracondylar humerus fractures in children.