Supracondylar fracture of the humerus in children in Guyana

ABSTRACT

The management of 109 children with supracondylar fractures of the humerus at the Georgetown Hospital, Guyana over a 5-year period has ben described. The condition was seen more commonly in East Indians than in Africans. The treatment of choice was closed reduction which was performed in flexion and held in pronation. Open reduction when necessary was done early. Cubitus varus deformity was more common in the group which had closed reduction and was due to inadequate correction of the medial angulation of the distal fragment. Volkmann's ischaemia, as a complication, was not observed in this series (AU)