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Original Research 
RMJ. 2025; 50(4): 936-939


Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires

Ghazanfar Ali Shah, Mukesh Kumar, Nimrah Rasheed, Sajjad Hussain Bhatti, Azizullah Bhayo, Imran Khan Mangi.


Abstract
Objective: To evaluate functional and radiological outcomes of pediatric supracondylar humerus fractures treated with delayed open reduction and internal fixation.
Methodology: This retrospective study conducted at SMBBIT analyzed pediatric cases from February 2018 to December 2022. Children aged 6 months to 12 years who underwent surgery two weeks post-injury were included. Exclusions were those with prior surgeries, poly-trauma, open fractures, and those lost to follow-up. Radiological assessments were conducted before and after surgery, and functional outcomes were evaluated using the Flynn criteria at 6 weeks, 12 weeks, and 6 months post-surgery.
Result: Among 49 patients, 98% achieved satisfactory radiological reduction. Functional outcomes showed 61.2% excellent, 24.5% good, and 14.3% fair results. Two complications were noted: cubitus varus and pin track infection.
Conclusion: Delayed open reduction with cross K-wires is effective in late-presenting pediatric fractures, but close monitoring is essential to manage complications.

Key words: Pediatric supracondylar fractures, humerus fractures, delayed union, fracture fixation, internal Kirschner wires.


 
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How to Cite this Article
Pubmed Style

Shah GA, Kumar M, Rasheed N, Bhatti SH, Bhayo A, Mangi IK. Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. RMJ. 2025; 50(4): 936-939.

Web Style

Shah GA, Kumar M, Rasheed N, Bhatti SH, Bhayo A, Mangi IK. Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. https://www.rmj.org.pk/?mno=223522 [Access: October 29, 2025].

AMA (American Medical Association) Style

Shah GA, Kumar M, Rasheed N, Bhatti SH, Bhayo A, Mangi IK. Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. RMJ. 2025; 50(4): 936-939.


Vancouver/ICMJE Style

Shah GA, Kumar M, Rasheed N, Bhatti SH, Bhayo A, Mangi IK. Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. RMJ. (2025), [cited October 29, 2025]; 50(4): 936-939.


Harvard Style

Shah, G. A., Kumar, . M., Rasheed, . N., Bhatti, . S. H., Bhayo, . A. & Mangi, . I. K. (2025) Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. RMJ, 50 (4), 936-939.


Turabian Style

Shah, Ghazanfar Ali, Mukesh Kumar, Nimrah Rasheed, Sajjad Hussain Bhatti, Azizullah Bhayo, and Imran Khan Mangi. 2025. Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. Rawal Medical Journal, 50 (4), 936-939.


Chicago Style

Shah, Ghazanfar Ali, Mukesh Kumar, Nimrah Rasheed, Sajjad Hussain Bhatti, Azizullah Bhayo, and Imran Khan Mangi. "Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires." Rawal Medical Journal 50 (2025), 936-939.


MLA (The Modern Language Association) Style

Shah, Ghazanfar Ali, Mukesh Kumar, Nimrah Rasheed, Sajjad Hussain Bhatti, Azizullah Bhayo, and Imran Khan Mangi. "Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires." Rawal Medical Journal 50.4 (2025), 936-939. Print.


APA (American Psychological Association) Style

Shah, G. A., Kumar, . M., Rasheed, . N., Bhatti, . S. H., Bhayo, . A. & Mangi, . I. K. (2025) Evaluation of functional and radiological outcomes in pediatric supra-condylar humerus fractures treated with delayed open reduction and internal fixation with cross k-wires. Rawal Medical Journal, 50 (4), 936-939.


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