Vol. 9, Issue 3 (2023)
Functional outcome of carrying angle changes following supracondylar humeral fractures in children
Author(s):
Mahmoud Hassan Sabry, Mohamed Osama Ramadan, Mohamed Mostafa Hosney and Ahmed Mohsen El-Oulemey
Abstract:
Background: The carrying angle (CA) is the angle created when the long axis of the humerus and the long axis of the stretched supinated forearm intersect. It disappears when the elbow is pronated and flexed. The aim of this work was to study changes of CA of the elbow after supracondylar humeral fractures in children as compared to the unaffected side and assess the functional outcomes related to these possible changes.
Methods: This retrospective-prospective study was conducted on 21 children aged more than 5 years to 12 years old, having supracondylar humeral closed fractures within one week from the injury and treated by closed reduction and fixed by two percutaneous K-wires applied from the lateral side, had a change of the elbow CA compared to the other side at the end of minimum follow up period (twelve months after fixation of the fracture).
Results: As stated by Flynn’s criteria for grading, all cases achieved satisfactory outcomes, 16 patients had excellent outcomes, 4 patients had good outcomes and one patient had fair outcomes, whereas no cases were graded as unsatisfactory outcomes. All parents were totally satisfied with the results, only three patients had a minimal degree of dull pain that just appears when lifting heavy objects, and one case of pin tract infection that was resolved on oral antibiotics.
Conclusions: The CA changes following supracondylar humeral fractures managed by closed reduction and K-wires fixation are resulting in satisfactory outcomes represented in good functional outcomes, few complications were reported; they weren’t severe and didn’t affect the daily living activities of patients.
Pages: 46-50 | 394 Views 176 Downloads
How to cite this article:
Mahmoud Hassan Sabry, Mohamed Osama Ramadan, Mohamed Mostafa Hosney and Ahmed Mohsen El-Oulemey. Functional outcome of carrying angle changes following supracondylar humeral fractures in children. Int. J. Orthop. Sci. 2023;9(3):46-50. DOI: 10.22271/ortho.2023.v9.i3a.3405
