Outcome of percutaneous kirschner wire fixation for supracondylar fractures of humerus in elderly comorbid patients

Abstract

Background: Management of supracondylar fractures in young adults has evolved over the last two decades but management of these fractures in elderly comorbid patients is still matter of debate. In this study we present the outcome of supracondylar fractures of humerus in elderly comorbid patients treated by closed reduction and percutaneous kirschner wires crisscross fashion. Results: Mean age in our study was 64.5 years, with F:M ratio of 10:6. Left sided involvement was seen in 9 patients while right side was involved in 7 patients. The mean Mayo Elbow Performance Score at final follow up was 91.56 and was excellent in 11(68.75%) patients, good in 4(25%) patients, fair in 1(6.25%) patient. Mean time to union was 6.4 weeks.Conclusion: When aided with appropriate immobilization and timely rehabilitation, closed reduction & percutaneous kirschner wire fixation is a viable option for management of supracondylar fractures in elderly comorbid patients.