Supracondylar fracture of humerus treated by open reduction and kirschner wire fixation: a prospective study

A prospective study of 46 patients was carried out to assess the role of open reduction and internal fixation in the management of supracondylar fracture of humerus. We found that open reduction and internal fixation with lateral approach is definitely better than other procedures in use at present. Using this method, the fracture is stabilized and a severely swollen elbow can be extended and compression of vessels is avoided. The period of hospitalization is shortened, common complications like cubits varus and stiffness of elbow are negligible. All nerve injuries, if not severe, recover after reduction, myositiossificans and Volkmann's ischaemic contracture are not seen