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Abstract The purpose of this study was to evaluate the clinical, radiographic results and complications of using Kapandji technique for reduction of pediatric displaced supracondylar humeral fractures. Closed reduction and percutaneous pinning has been widely accepted as the gold standard for treating Gartland ΙΙΙ supracondylar fractures of the humerus in children. This prospective study was done between the period from May 2015 to September 2016 on twenty one patients suffering Gartland ΙΙΙ supracondylar fracture of the humerus that presented at the department of orthopedics and traumatology of Tanta University. The study included patients aged between two to ten years. Among 21 children there were 15 males and six females. The left side was involved in 80.9% of cases. Fall on outstretched hand was the mode of injury in all cases resulting in extension type supracondylar fracture of the humerus. Patients included in this study had their fractures reduced using posterior K-wire introduced through the fracture site as a lever to forward reduce the posteriorly displaced distal fragment. Once anatomical reduction has been obtained and confirmed by fluoroscopy, percutaneous pinning by lateral or crossed K-wires to stabilize the distal fragment. Five cases had one laterally inserted K-wire; fourteen cases had two laterally inserted K-wires and four cases had one lateral and one medial K-wires. The follow up period ranged between three to six months, using the Flynn’s criteria there were 85.7% of cases had excellent results, 9.5% of cases with good accepted results (95.2 %) satisfactory results and one case (4.8%) had bad result. |