Supracondylar fractures of the humerus associated with ipsilateral forearmfractures in children: A report of forty-seven cases

Supracondylar fractures of the humerus associated with ipsilateral forearm fractures art: uncommon and treatment recommendations are controversial. Th e purpose of this study was to determine whether pin fixation of both fract ure components? humerus and forearm, would improve the outcome. In a two-ce nter trial, 884 children sustaining supracondylar fractures of the humerus were retrospectively reviewed, and 47 (5.3%) showed associated ipsilateral forearm fractures. Of those, 29 underwent Kirschner-wire fixation of the fo rearm fracture, and 18 of the forearm fractures were treated with casting a lone. Three of the is forearm fractures with casting alone reangulated. The re were no reangulations in the patients who had pin fixation of their frac tures. There were no complications due to pin fixation in the humerus or th e forearm. In unstable supracondylar humerus and forearm fractures, stabili zation with pin fixation to prevent reangulation should be considered.