A comparative study between closed reduction with percutaneous pinning and open reduction with K wire fixation in displaced supracondylar fractures of humerus in children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
The aim of the study was to analyze the results of fixation of supracondylar fractures by open vs. closed reduction followed by internal fixation with k wires and assessing the union radiologically, complications associated with the procedure and restoration of range of motion and function of the elbow and to evaluate the results clinically regarding pain, stiffness, range of motion. our study was conducted on 15 pt who attended orthopaedics opd /emergency rimsh with extension type of supracondylar fracture (gartland ii & iii).closed manipulation was done with application of posterior POP slab for immobilization. Check X ray was done .on adequate reduction pt was sent back home .Inadequate reduction were admitted and was planned for OT either percutaneous pinning or ORIF with k wire. Study subject were divided into 2groups .group I = closed reduction with percutaneous pinning. group ii= ORIF with k-wire fixation.Patients were followed up at an interval of 2 weeks for 2 months and subsequently every 3 month for a period of 1 year.On follow up pt was assessed for presence of complication, ROM, carrying angle, deformity (varus or valgus). Average time for union after surgery were found to be 1.90 months and 1.68 months for percutaneous pinning and ORIF with k wire. Variation is not significant (p=0.150).There for conclude that techniques are almost alike .
Authors and Affiliations
B. Punithavasanthan, Amaresh shil, prof SN Singh
Keywords
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- EP ID EP573471
- DOI 10.9790/0853-1804104448.
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