Vol. 11, Issue 3 (2025)

Supracondylar humerus fractures are the most common elbow fractures in children aged 4-10 years. Management varies depending on fracture type, ranging from conservative to operative treatment. Type III fractures generally require surgical intervention, as supported by existing literature. Proper classification is essential for guiding appropriate treatment.
Methods: This retrospective, cross-sectional study was conducted at Rapti Academy of Health Sciences from April 2021 to April 2024. It included all cases of type III supracondylar humerus fractures that were challenging to reduce by closed means. The census sampling technique was employed.
Results: A total of 45 children underwent treatment using the Tansen technique. The mean age was 7.64±2.9 years (range: 3-13). Of these, 32 (71.1%) were male and 13 (28.9%) female. Left-sided injuries accounted for 64.4% (29 patients), and right-sided injuries for 35.6% (16 patients). Most injuries (80%) resulted from falls, while 20% were due to road traffic accidents. Type IIIA fractures were seen in 27 patients (60%) and IIIB in 18 (40%). The average surgical time was 42.58±5.8 minutes, with a mean slab and K-wire duration of 5.44 weeks. Union occurred at an average of 5.56±0.16 weeks. The mean hospital stay was 2.27±0.78 days. Postoperatively, 88.9% had intact neurovascular status; 5 patients (11.1%) experienced transient ulnar nerve neuropraxia that resolved with follow-up. Pin site infection occurred in 5 patients (11.1%) but was managed with antibiotics and dressings. 9 (20%) had preoperative AIN injury, all of which resolved. According to Flynn’s criteria, all of our patients achieved satisfactory outcomes.
Conclusion: The Tansen technique proves to be a safe, effective, and cosmetically favorable option for treating type III supracondylar humerus fractures in children, with high success rates, minimal complications, and short hospital stays.