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Evaluation and Outcome of CRIF with Kirschner wire in Gartland Type II & III Supracondylar Fracture of Children in Level-II & III Hospital in Bangladesh

DOI : https://doi.org/10.36349/easjop.2021.v03i04.002
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Introduction: Supracondylar fractures are one of the most common elbow fractures in children, and they require prompt diagnosis and treatment. It's frequently linked to neurovascular, functional, and deformity issues. Objectives: To examine the demographics, clinical characteristics, and treatment outcomes of patients who had closed reduction and splinting, percutaneous pinning stabilization, or Open Reduction and Internal Fixation (ORIF). Materials and Methods: A multicenter nonrandomized quasi-experimental prospective study was undertaken in Rajshahi Medical College Hospital and Sador Hospitals in Rajshahi Division Joypurhat in Bangladesh from January 2018 to December 2020. The participants had to have a Gartland type I, II, or III fracture and be between the ages of 2 and 13 years old. The trial group consisted of 40 patients with an average age of 7.5 years. Results: All of the fractures were closed, with 02 flexions and 38 extension types. Two Gartland type I fractures 2 (5%), 24 (60%), and 14 (35%) had type II and III fractures, respectively. 2(5%) of type ll patients received cast immobilization, 8(20%) of type ll patients received closed reduction and splinting, 22(55%) of type ll patients received crossed k-wire, and 8(20%) of type ll patients received CRIF with an image intensifier, respectively. According to Flynn's criteria, our research yielded 34 (84.7%) excellent, 4 (10.2%) decent, 2 (5.1%) fair results. Conclusion: The patient's age, fracture pattern, and deformity status should all be considered while treating a supracondylar fracture. When closed reduction and stabilization with percutaneous wiring are unsuccessful, open fractures with concomitant neurovascular problems ORIF should be preferred.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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