SA Orthopaedic Journal
On-line version ISSN 2309-8309
PRETORIUS, JL; ROLLINSON, P and RASOOL, MN. Outcome of displaced supracondylar fractures in children after manipulation and backslab. SA orthop. j. [online]. 2015, vol.14, n.4, pp. 35-41. ISSN 2309-8309. http://dx.doi.org/10.17159/2309-8309/2015/v14n1a4.
AIM: To assess the functional and cosmetic outcome of displaced supracondylar fractures in children treated by closed reduction and plaster backslab. METHOD: We retrospectively reviewed 53 patients with Gartland type II and type III fractures that were treated by closed reduction (Blount's technique) and immobilisation in a collar and cuff and above-elbow plaster backslab between December 2011 and May 2012. The mean age was 6.6 years. The mean follow-up time was 12 weeks (range, 6-20). All open injuries and undisplaced fractures were excluded from the study. Flynn's criteria were used to assess functional and cosmetic outcome. RESULTS: The median loss of motion was 10 degrees and the median change in carrying angle was 4 degrees. Fifty-one patients (96.2%) had satisfactory results, with 87% graded as excellent or good according to the Flynn's criteria for grading of the carrying angle. A range of motion of 100 degrees was achieved in 92.5% of patients at 12 weeks. CONCLUSION: This method appears to produce less satisfactory results in comparison to closed reduction and fixation with Kirschner wires (K-wires), but it does provide satisfactory results according to Flynn criteria with regard to cosmetic deformity and range of motion at short-term follow-up. It is an acceptable and safe option with which to treat displaced supracondylar fractures.
Keywords : supracondylar fractures; closed treatment; outcome.