Outcomes of Joystick Manoeuvre in the Management of Pediatric Supracondylar Humerus Fractures

Background: SCFH (Supracondylar humerus fracture) is one of the most common fractures noted in subjects from the pediatric age group. One of the commonly employed and novel therapeutic approach for close reduction and reduction is Joystick maneuver used for supracondylar humerus fracture.

Aim: The present study was aimed to assess the outcomes of Joystick manoeuvre in the management of pediatric supracondylar humerus fractures.

Methods: The present study assessed 136 subjects that had Supracondylar humerus fracture in the pediatric subjects. In all the subjects, demographic data were gathered along with clinical examination and all the outcomes were assessed in all the subjects for outcomes of the Joystick maneuver.

Results: The study results showed that majority of subjects were in age range of 7-9 years and majority of study subjects were male. The Flynn grading depicted that initially at 1 month follow-up, good outcome was seen in 86.66% (n=118) subjects and excellent outcomes in 11.76% (n=16) subjects, whereas, fair outcome was seen in 1.47% (n=2) subjects that improved significantly over one year and at end of 1 year. Outcome was excellent and good in 82.35% (n=112) and 17.65% (n=24) subjects with statistical significance and p<0.001.

Conclusion: The present study concludes that use of Joystick maneuver was for management of supracondylar humerus fracture in child subjects is an effective and safe procedure for closed reduction associated with the excellent functional outcomes in majority of the subjects and good in remaining subjects following the Flynn grading.