A clinical study of closed reduction and crossed percutaneous pinning of supracondylar fracture of elbow in children
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Closed reduction and crossed percutaneous pinning under high quality fluoroscopic imaging is a reliable technique for obtaining and maintaining near anatomical reduction of supracondylar fractures of humerus in children, preserving vascular function. There is greater stability or ability to maintain reduction with the crossed pinning technique. The primary risk of injury to ulnar nerve in crossed pinning is minimised by palpating the medial epicondyle and placing the entry point anterior to the ulnar nerve. Materials and Methods: Twenty Five cases of Gartland Type III supracondylar fractures of humerus in children from December 2016 – May 2018 treated by closed reduction and crossed percutaneous pinning under C-arm was included in the study. Medial and lateral pins are preferable to multiple lateral pins as it provides more stability. The patients were followed up clinically and radiologically in the 3rd, 6th and 12th week postoperatively and their recovery assessed according to Flynn’s criteria. Result: Among the patients in the study, in whom the fracture was treated by closed reduction and crossed k-wire fixation and assessed using Flynn’s criteria, 88% of the patients had excellent results, 8% had good results. Altogether 96% of the patients had satisfactory results. Conclusion: Closed reduction and crossed percutaneous pinning is a safe, stable and effective technique for the treatment of supracondylar fracture in children with a satisfactory outcome.
Authors and Affiliations
Dr. Roshan D, Dr. Shereen D
Keywords
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- EP ID EP488017
- DOI 10.22271/ortho.2018.v4.i4e.49
- Views 78
- Downloads 0
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