Abstract
INTRODUCTION: In and around elbow in pediatric age group, fractures in the supracondylar region of humerus are the most common. Displaced fractures are treated operatively and undisplaced fractures conservatively. Treatment of minimally or partially displaced supracondylar fractures depends on the adequacy and quality of reduction in the outpatient setting. We observed that there was a scope for a newer technique of reduction in these fractures. This study analyzes the functional outcome after prone method of reduction in extension type 2 Gartland pediatric supracondylar fractures of humerus. MATERIALS AND METHODS: This study was of prospective design from January 2019 to January 2020. Twenty-five patients of type-II supracondylar humerus fracture were included. After consent, under local hematoma block, in prone position, reduction technique was performed. Patients were evaluated at 1, 3, 6, 12, and 24 weeks. Criteria of Flynn were used to gauge the clinical outcome. RESULTS: Study included 25 patients, 22 being male and three females. Twenty patients had fracture in the left side and five had in right. Age of patients ranged from 4 to 11 years, with 8.1 being the mean age. Criteria of Flynn were used to assess outcome. Excellent outcome was obtained in 21 (84%) and good outcome in 2 (8%) patients. One (4%) patient had fair and 1 (4%) had poor outcome. CONCLUSION: Prone method of reduction provides us with a new option of safe and effective method of treating pediatric Gartland type 2 humerus supracondylar fractures, which can be performed even in a low-resource setting. This technique permits excellent fracture reduction and, thereby, can avoid operative intervention.