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(PDF) Crossed versus lateral K-wire fixation of supracondylar fractures of the humerus in children: a meta-analysis of randomized controlled trials
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As the closed K wire fixation is the standard of treatment for these fractures, we performed a prospective study comparing the two methods. Method: A prospective study comparing any reduction loss between the two groups was undertaken. Major end points documented were loss of fracture reduction and ulnar nerve injury, in addition clinical alignment, Flynn grade, range of motion, function, and complications. The operative procedure was standardized. Result: Sixty two patients were studied, 32 and 30 in cross K wire and lateral K wire entry group respectively. Two cases of iatrogenic ulnar nerve injury was documented in crossed K wire fixation group but it was insignificant (p value=0.336). No significant difference was observed in terms of change in Baumann or humerocapitellar...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Lateral versus crossed K wire fixation for Displaced Supracondylar Fracture Humerus in Children: Our Experience","attachmentId":79459801,"attachmentType":"pdf","work_url":"https://www.academia.edu/69317266/Lateral_versus_crossed_K_wire_fixation_for_Displaced_Supracondylar_Fracture_Humerus_in_Children_Our_Experience","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/69317266/Lateral_versus_crossed_K_wire_fixation_for_Displaced_Supracondylar_Fracture_Humerus_in_Children_Our_Experience"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="120794265" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/120794265/A_study_on_outcome_of_various_K_wire_fixations_in_paediatric_supracondylar_humerus_fractures">A study on outcome of various K-wire fixations in paediatric supracondylar humerus fractures</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="94240206" href="https://suratmunicipal.academia.edu/KushalParikh">Kushal Parikh</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Research in Orthopaedics, 2020</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: The ideal pin geometry for treatment of paediatric supracondylar humerus fracture is still debated. Various studies have been carried out comparing medial-lateral pinning (MLP) and lateral only pinning (LOP), but none have compared all three individually i.e. MLP, lateral divergent pinning and Lateral Trans olecranon fossa four cortex purchase pinning (TOF-FCP). This study aims to compare the cosmetic and functional outcome of these three pinning methods.Methods: 54 children with supracondylar humerus (Gartland type 2 or 3) meeting inclusion criteria were treated operatively and followed up till 6 months postoperatively. At 6 months the cosmetic and functional outcomes were assessed using the modified Flynn criteria.Results: All fractures united within 3 to 6 weeks duration. The mean duration of fracture union was 4.05 weeks. Functional outcome was satisfactory (i.e. excellent or good) at 6 months according to Flynn criteria in 95% of cases in cross pinning, 100% cases i...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A study on outcome of various K-wire fixations in paediatric supracondylar humerus fractures","attachmentId":115831814,"attachmentType":"pdf","work_url":"https://www.academia.edu/120794265/A_study_on_outcome_of_various_K_wire_fixations_in_paediatric_supracondylar_humerus_fractures","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/120794265/A_study_on_outcome_of_various_K_wire_fixations_in_paediatric_supracondylar_humerus_fractures"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="112145067" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/112145067/Open_versus_closed_reduction_and_K_wire_fixation_for_displaced_supracondylar_fracture_of_the_humerus_in_children">Open versus closed reduction and K-wire fixation for displaced supracondylar fracture of the humerus in children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="286582620" href="https://independent.academia.edu/IsraaNWitwit">Israa N. Witwit</a></div><p class="ds-related-work--metadata ds2-5-body-xs">European Journal of Orthopaedic Surgery &amp; Traumatology, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Supracondylar fracture of the humerus is a common displaced type childhood fracture that is treated by two methods. To compare open and closed methods of reduction with 2 cross k-wire fixation, a retrospective comparative study of 66 paediatric patients with type III supracondylar fracture of the humerus, who were treated in two different hospitals utilizing two different protocols, was conducted. Group 1 was treated with open reduction and 2 cross k-wire fixation, and group 2 received the closed reduction and k-wire fixation protocol. Functional and cosmetic assessments were conducted utilizing the Flynn et al. outcome criteria. The test population consisted of 25 female (37.9%) and 41 male (62.1%) patients. There were 43 fractures (65.2%) in the right elbow and 23 fractures (34.8%) in the left. Group 2 (81.81%) stayed less than 4 days in the hospital, while 69.7% of group 1 stayed more than 5 days. Statistically, there were no significant differences (P > 0.05) between patients of both groups regarding the Flynn et al. criteria. Closed reduction technique was preferred because it required less hospitalization time and resulted in almost no visible surgical scars.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Open versus closed reduction and K-wire fixation for displaced supracondylar fracture of the humerus in children","attachmentId":109465620,"attachmentType":"pdf","work_url":"https://www.academia.edu/112145067/Open_versus_closed_reduction_and_K_wire_fixation_for_displaced_supracondylar_fracture_of_the_humerus_in_children","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/112145067/Open_versus_closed_reduction_and_K_wire_fixation_for_displaced_supracondylar_fracture_of_the_humerus_in_children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="86410267" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/86410267/Functional_outcome_of_crossed_Kirschner_wire_fixation_in_pediatric_supracondylar_humerus_fracture">Functional outcome of crossed Kirschner wire fixation in pediatric supracondylar humerus fracture</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="148753762" href="https://independent.academia.edu/ZohaibNawaz7">Zohaib Nawaz</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Research in Orthopaedics, 2019</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Distal humeral fractures are one of the most common types of fractures in children, most of them being supracondylar. Supracondylar fractures are usually caused by trauma, most likely falls. It is an emergency, requiring rapid diagnosis and management to avoid serious complications. Recommended treatment modalities vary from no reduction and immobilization to open reduction and internal fixation. Kirschner wire (K-wire) fixation of displaced supracondylar fractures after closed reduction is a preferred method and is being performed for over 50 years now. This study was conducted to determine the functional outcome of crossed K-wire fixation in pediatric supracondylar fracture.Methods: This prospective study was conducted from May-November 2018 at the department of Orthopedics, Abbasi Shaheed Hospital, Karachi, Pakistan. It was inferred that functional outcome of pediatric displaced supracondylar humeral fractures is satisfactory when managed with percutaneous crossed K-w...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Functional outcome of crossed Kirschner wire fixation in pediatric supracondylar humerus fracture","attachmentId":90870354,"attachmentType":"pdf","work_url":"https://www.academia.edu/86410267/Functional_outcome_of_crossed_Kirschner_wire_fixation_in_pediatric_supracondylar_humerus_fracture","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/86410267/Functional_outcome_of_crossed_Kirschner_wire_fixation_in_pediatric_supracondylar_humerus_fracture"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="47937008" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/47937008/K_wire_fixation_of_supracondylar_humeral_fractures_in_children_results_of_open_reduction_via_a_ventral_approach_in_comparison_with_closed_treatment">K-wire fixation of supracondylar humeral fractures in children: results of open reduction via a ventral approach in comparison with closed treatment</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33543287" href="https://independent.academia.edu/DAronson1">D C Aronson</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Injury, 1993</p><p class="ds-related-work--abstract ds2-5-body-sm">Tke morbidity and finctional oufcome of K-wire fiation of dislocafed supracondyhr kumeralfiactures in children after open reduction tkrougk a ventral approach were studied, using the results after closed reduction as a goolden standard. A series of 49 children were evaluated retrospectively. Of tkese, 46 children could be included in fke study, of whom 35 were treated with closed reduction (group A) and I I were treated with open reduction via a ventral approach lpraup B.) Allfractures were splinted in plaster for 3 weeks postoperatively. Tkereafter free active motion of the elbow was permitted. Our data show tkaf open reduciion via a ventral approach carries no morbidity. The time for full funcfional recove y was equal in both groups. Only one out of II patients showed mild vayus defom?ity after open reduction, while this slight malalignmenf occurred in five of 35 patients after closed reduction. Tke final anatomical and funcfional results did not differ between the tzuo groups. It can be concluded that K-wire fixation of dislocated supracondylar fractures in children give.5 excellenf results and tkaf open reduction via a ventral approach is a logical, safe and elegant alternative, if closed reduction fails.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"K-wire fixation of supracondylar humeral fractures in children: results of open reduction via a ventral approach in comparison with closed treatment","attachmentId":66809233,"attachmentType":"pdf","work_url":"https://www.academia.edu/47937008/K_wire_fixation_of_supracondylar_humeral_fractures_in_children_results_of_open_reduction_via_a_ventral_approach_in_comparison_with_closed_treatment","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/47937008/K_wire_fixation_of_supracondylar_humeral_fractures_in_children_results_of_open_reduction_via_a_ventral_approach_in_comparison_with_closed_treatment"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="24450695" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24450695/Outcome_of_Paediatric_Supracondylar_Fractures_0f_Humerus_with_Closed_Reduction_and_Percutaneous_Fixation_with_2_Crossed_K_Wires">Outcome of Paediatric Supracondylar Fractures 0f Humerus with Closed Reduction and Percutaneous Fixation with 2 Crossed K-Wires</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="47154308" href="https://independent.academia.edu/ShamimAhmadBhat">Shamim Ahmad Bhat</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27377481" href="https://innovativepublication.academia.edu/IP">IP Innovative Publication Pvt. Ltd.</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Innovative Publication, 2016</p><p class="ds-related-work--abstract ds2-5-body-sm">Supracondylar fractures of humerus are common skeletal injuries in paediatric age group comprising 50-60% of elbow injuries. They are often associated with complications and are very notorious for neurovascular injuries between 5 to 10 years of age. Our objective was to evaluate the functional outcome with closed reduction and percutaneous cross k wire fixation. 60 patients of Gartland type III fractures admitted and treated in our hospital were taken for study. The results were assessed as per FLYNN CRITERIA. There were 48 excellent, 6 good,4 fair and 2 poor results. Fair results were due to poor compliance to follow up and postoperative rehabilitation. There were 8 cases with pintract infection, 2 with elbow stiffnes and 1 with cubitusvarus. Closed reduction and percutaneous K wire fixation is very effective and minimally invasive way of treatment of displaced supracondylar humerus fractures. Crossed K wire seems biomechanically better way of stability of fracture reduction.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Outcome of Paediatric Supracondylar Fractures 0f Humerus with Closed Reduction and Percutaneous Fixation with 2 Crossed K-Wires","attachmentId":44782561,"attachmentType":"pdf","work_url":"https://www.academia.edu/24450695/Outcome_of_Paediatric_Supracondylar_Fractures_0f_Humerus_with_Closed_Reduction_and_Percutaneous_Fixation_with_2_Crossed_K_Wires","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24450695/Outcome_of_Paediatric_Supracondylar_Fractures_0f_Humerus_with_Closed_Reduction_and_Percutaneous_Fixation_with_2_Crossed_K_Wires"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="93072574" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/93072574/Comparison_of_the_Two_Methods_of_Percutaneous_K_Wire_Fixation_in_Displaced_Supracondylar_Fracture_of_Humerus_in_Children">Comparison of the Two Methods of Percutaneous K–Wire Fixation in Displaced Supracondylar Fracture of Humerus in Children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="215184438" href="https://independent.academia.edu/MDWasimAnwar">MD Wasim Anwar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2011</p><p class="ds-related-work--abstract ds2-5-body-sm">The modified Gartland classification of supracondylar fracture of the humerus is not only supracondylar humeral fractures is the most the most common injury but can result in serious 7 commonly accepted and used system. complications if not treated appropriately. There are two types of supracondylar Elbow fractures treatment in children remained a great challenge for surgeons since Hippocrates. Proper training is needed to adopt recent advances by young surgeons to deal with 8 these challenges. Closed reduction and Percutaneous pin fixation is widely accepted treatment for displaced humeral supracondylar fractures in Type 1 Undisplaced fractures Type 2-Partially displaced fractures (with intact posterior cortex) & Type 3-Completely displaced fractures (no cortical contact) 3A-Posteromedial (90%)</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Comparison of the Two Methods of Percutaneous K–Wire Fixation in Displaced Supracondylar Fracture of Humerus in Children","attachmentId":95912634,"attachmentType":"pdf","work_url":"https://www.academia.edu/93072574/Comparison_of_the_Two_Methods_of_Percutaneous_K_Wire_Fixation_in_Displaced_Supracondylar_Fracture_of_Humerus_in_Children","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/93072574/Comparison_of_the_Two_Methods_of_Percutaneous_K_Wire_Fixation_in_Displaced_Supracondylar_Fracture_of_Humerus_in_Children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="115667057" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115667057/Assessment_of_functional_and_radiological_outcomes_of_closed_reduction_and_K_wire_fixation_of_supracondylar_fracture_of_humerus_in_children">Assessment of functional and radiological outcomes of closed reduction and K-wire fixation of supracondylar fracture of humerus in children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="305968843" href="https://independent.academia.edu/RanganathN5">Ranganath N</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="296983476" href="https://innovativepublication.academia.edu/InnovativePublication">Innovative Publication</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Panacea Journal of Medical Sciences, 2023</p><p class="ds-related-work--abstract ds2-5-body-sm">Abstract Introduction: Supracondylar fractures of the humerus are commonly seen in children and are difficult to manage because of their unstable nature. It is difficult to maintain the reduction with splints. Non-operative treatment is associated with malunion and open reduction is more invasive procedure. Closed reduction of the fracture with percutaneous K-wire fixation is the preferred procedure with satisfactory results. Materials and Methods: Children who came to the tertiary care hospital with a fracture in the supracondylar region following history of trauma to the elbow region and X-ray showing Gartland Type II and extension Type III fractures were included in this study. All these fractures were managed with closed reduction and fixation with K-wires inserted by percutaneous technique. Functional outcome and radiological union were noted. Results: A total of 35 children were operated. About half of the study population were in the range of 6 to 8 years. Majority of study subjects were boys. The average time period between sustaining a fracture and surgical procedure was 1.35 ± 0.48 days. The final results of this treatment modality were graded based on Flynn’s criteria and about 94.28% of study subjects had excellent to good outcomes. One child had complication of superficial pin tract infection. Conclusion: Displaced supracondylar fractures of humerus can be effectively managed with closed reduction and percutaneous criss-cross K-wire fixation. This procedure does not disturb the normal fracture healing process. Keywords: Supracondylar fracture, Closed reduction, Percutaneous pinning, Kwires, Cubitus varus</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Assessment of functional and radiological outcomes of closed reduction and K-wire fixation of supracondylar fracture of humerus in children","attachmentId":112010763,"attachmentType":"pdf","work_url":"https://www.academia.edu/115667057/Assessment_of_functional_and_radiological_outcomes_of_closed_reduction_and_K_wire_fixation_of_supracondylar_fracture_of_humerus_in_children","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/115667057/Assessment_of_functional_and_radiological_outcomes_of_closed_reduction_and_K_wire_fixation_of_supracondylar_fracture_of_humerus_in_children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="16274065" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/16274065/Results_of_treatment_of_displaced_supracondylar_humeral_fractures_in_children_by_K_wiring">Results of treatment of displaced supracondylar humeral fractures in children by K-wiring</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="35443570" href="https://independent.academia.edu/JBekavac">Josip Bekavac</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="35367909" href="https://independent.academia.edu/ZdenkoOstoji%C4%87">Zdenko Ostojić</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Collegium antropologicum, 2010</p><p class="ds-related-work--abstract ds2-5-body-sm">The supracondylar fracture of the humerus in children remains the most challenging injury for the orthopedic surgeon. It is important to consider the options of treatment very carefully and tailor the treatment according to the characteristics of each fracture. In this study we observed outcomes of surgical procedures using the Kirschner-wire for the dislocated (displaced) supracondylar fractures in 135 children (mean age 6.7 years). In 96 patients closed reposition (reduction) and fixation with crossed K-wire was done. A total of 41 children were operated by the means of open reposition and crossed K-wire fixation. Another 41 underwent similar (1-mm) K-wire application. In classifying the fractures Gartland classification of the supracondilar fractures of the humerus was used. Postoperatively, cubitus varus was found in seven, and cubitus valgus in three children (5% and 2% respectively). Stiffness of the elbow was recorded in 18 patients, while the paresis of the ulnar nerve was r...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Results of treatment of displaced supracondylar humeral fractures in children by K-wiring","attachmentId":42589181,"attachmentType":"pdf","work_url":"https://www.academia.edu/16274065/Results_of_treatment_of_displaced_supracondylar_humeral_fractures_in_children_by_K_wiring","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/16274065/Results_of_treatment_of_displaced_supracondylar_humeral_fractures_in_children_by_K_wiring"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="42026459" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/42026459/To_compare_the_functional_outcome_of_cross_k_wires_v_s_lateral_k_wires_in_Gartland_type_III_supracondylar_humerus_fracture_in_paediatric_age_groups">To compare the functional outcome of cross k-wires v/s lateral k-wires in Gartland type-III supracondylar humerus fracture in paediatric age groups</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="98804614" href="https://gmcbhopal.academia.edu/DrRajeshJamoria">Dr. Rajesh Jamoria</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Orthopaedics , 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"To compare the functional outcome of cross k-wires v/s lateral k-wires in Gartland type-III supracondylar humerus fracture in paediatric age groups","attachmentId":62151470,"attachmentType":"pdf","work_url":"https://www.academia.edu/42026459/To_compare_the_functional_outcome_of_cross_k_wires_v_s_lateral_k_wires_in_Gartland_type_III_supracondylar_humerus_fracture_in_paediatric_age_groups","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/42026459/To_compare_the_functional_outcome_of_cross_k_wires_v_s_lateral_k_wires_in_Gartland_type_III_supracondylar_humerus_fracture_in_paediatric_age_groups"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":121090442,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":121090442,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_121090442" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="32615427" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/32615427/Comparative_study_between_functional_outcome_of_closed_and_open_percutaneous_K_wire_fixation_in_gartland_type_II_and_III_extension_type_supracondylar_humerus_fractures_in_children">Comparative study between functional outcome of closed and open percutaneous K- wire fixation in gartland type II and III extension type supracondylar humerus fractures in children</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27377481" href="https://innovativepublication.academia.edu/IP">IP Innovative Publication Pvt. 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