Abstract: Background: Treatment of ipsilateral supracondylar fractures of humerus and distal fractures of forearm bones in children with closed reduction and k-wire fixation along with management of two Gustilo- Anderson 2 open supracondylar fractures with wound debridement and subsequent open reduction. For this reason, percutaneous pinning technique is the treatment of choice for ipsilateral supracondylar humerus with distal forearm fractures. By this procedure even displaced fractures can be treated successfully with minimal incidence of complications. The purpose of study is to determine the efficacy of management of ipsilateral supracondylar fractures with distal forearm fractures, imaging of forearm bones with fractures of supracondylar humerus.
Methods: 20 cases of supracondylar humerus fractures with distal forearm fractures in children aged between 5-12 years treated with closed reduction and percutaneous pinning except in cases with open fracture of supracondylar humerus treated with wound debridement and open reduction and were studied prospectively for functional outcome.
Results: 90% of patients observed excellent results, while 10% have fair outcome. Pin site infection was seen in patients with open fractures which resolved with k-wire removal and antibiotic coverage. While 2 case were seen with recovering radial nerve palsy at 6 months follow up.
Conclusion: The results obtained in study shows anatomic reduction by closed method and stabilization with k-wire fixation hence is treatment of choice for Ipsilateral supracondylar humerus and forearm distal fractures.
