Neurovascular injury in supracondylar fracture of Humerus

KR Shrestha, R Sapkota, N Rajbhandari, B Thapa, UK Shrestha
2013 Journal of Institute of Medicine  
Supracondy lar fractures of the humerus are the commonest upper limb fractures in children, accounting for up to 70% of all pediatric elbow fractures. Supracondy lar fractures of the humerus can be managed in outpatient setting but are often complicated by neurovascular injury . Methods: Retrospective study including 187 patients who had presented with supracondy lar fracture of humerus with 47 neurovascular injuries during the period of July 2007 to June 2011. O ut of 142 patients with G
more » ... tients with G artland ty pe III fracture 107 underwent immediate open reduction, exploration and internal •xation. Results: V ascular injury is commonly associated with ty pe II supracondy lar fracture with posterior displacement. T wenty two patients had vascular injury and all of them had satisfactory outcome after surgery . Conclusion: A careful clinical evaluation, urgent surgical treatment and adeq uate fracture reduction can prevent lifelong handicap.
doi:10.3126/joim.v34i3.8909 fatcat:gbvi5f4mtjejrewjjebizic5ya