A study of Joystick maneuver as a novel therapeutic approach in supracondylar humerus fracture in pediatric age group

Abstract

Supracondylar humerus fracture (SCFH) is one of the commonest fractures in the pediatric age group. Joystick maneuver isnovel therapeutic approach for closed reduction & fixation in supracondylar humerus fracture, hence we have undertaken this study. Present study was prospective in nature conducted among 68 SFCH pediatric patients. All patients fulfilling inclusion criteria and exclusion criteria were taken up for the study. Study was carried out over a period of 2 years. Majority of the patients was in the age group of 7-9 years and most of them were male children. Flynn grading has shown that initially at 1 month follow up, most i.e. 59 (86.76%) cases had good outcome followed by 08 (11.76%) cases were having excellent outcome & 1 (1.47%) was having fair outcome which significantly improved over a period of year and at the end of 12 months, most i.e. 56 (82.35%) cases had excellent outcome & 12 (17.65%) was having good outcome (p<0.001). Joystick maneuver for supracondylar humerus fracture in pediatric age group is a safe & effective procedure for closed reduction associated with excellent functional outcomes in majority & good in rest as per Flynn grading.