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Closed reduction and percutaneous fixation of supracondylar fracture of the humerus and ipsilateral fracture of the forearm in children

Y. Tabak, MD, Associate Professor¹; L. Çelebi, MD, Orthopaedic Surgeon¹; H. H. Murath, MD, Orthopaedic Surgeon¹; M. F. Yamurlu, MD, Orthopaedic Surgeon¹; C. N. Aktekin, MD, Orthopaedic Surgeon¹; and A. Biçimoglu, MD, Associate Professor and Chief of Clinic¹

¹ Third Department of Orthopaedics and Traumatology Ankara Numune Education and Research Hospital, Ankara, Turkey.

Correspondence should be sent to Dr L. Çelebi at Koza sokak 114/49, Gaziosmanpasa, Ankara, Turkey.

We treated 22 children with a supracondylar fracture of the humerus and an ipsilateral fracture of the forearm by closed reduction and percutaneous fixation. There were four Gartland type-II and 18 Gartland type-III supracondylar fractures of the humerus. There were fractures of both bones of the forearm in 16 and of the radius in six. Both the supracondylar and the distal forearm fractures were treated by closed reduction and percutaneous fixation. The mean follow-up time was 38.6 months.

At the latest follow-up there were 21 excellent or good results and one fair result. There were no cases of delayed union, nonunion or malunion. Five nerve injuries were diagnosed on admission and all recovered spontaneously within eight weeks. No patient developed a compartment syndrome.