EVALUATION OF RADIOLOGICAL REMODELING USING BAUMANNÂ'S ANGLE IN SUPRACONDYLAR FRACTURES OF THE HUMERUS MANAGED WITH CLOSE OR OPEN REDUCTION AND INTERNAL FIXATION WITH K WIRES

Introduction: Supracondylar fractures of the humerus are one of the most common fractures occurring in children. These fractures are difficult to treat because of the frequent occurrence of complications like neurovascular injury and elbow stiffness. The aim is to re-establish the anatomy of the distal humerus perfectly. Material and Methods: Retrospective study of 50 patients with supracondylar fracture of humerus. 50 patients were operated with closed or open reduction internal fixation with k- wire. The study was conducted from September 2018 to August 2020 in a tertiary care center in the city of India.At the final follow up that is at 1 year patients underwent X-ray of Bilateral upper limbs full length to calculate Baumann’s angle and Carrying angle of the affected side was compared to the normal side. Result: The mean carrying angle of the unaffected side was 11.27 ± 1.860 and that of the affected side was 9.67 ± 1.920. The difference was found to be statistically significant (p=0.001), showing a significant decrease in the carrying angle of the affected side in comparison to the unaffected side at the final follow-up. Conclusion: supracondylar humerus fracture although remodels well in children by either close or open reduction and internal fixation good to excellent functional outcome can be achieved in Gartland type II and type III fractures