A COMPARATIVE STUDY OF OUTCOMES OF PERCUTANEOUS CROSSED VS LATERAL DIVERGENT PINNING IN THE TREATMENT OF DISPLACED (GRADE-3) SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 7
Abstract
INTRODUCTION: Displaced supracondylar fractures of humerus are one of the most common fractures in paediatric age group with preferred treatment being close reduction with percutaneous k-wire fixation. This study compares whether lateral pin construct alone can provide same stability like medial and lateral pin fixation, and prevent iatrogenic ulnar nerve injury. MATERIAL & METHODS: This is a prospective comparative randomized controlled trial. A total of 60 patients of displaced supracondylar fracture aged between 3-12 years with fresh fracture, without any compound injury or communition were enrolled for the study and randomly divided into two groups, A and B. For each group of 30 patients, they were assigned treatment of crossed pinning and lateral pinning respectively and outcome was evaluated on basis of pain, motion, stability and function according to Mayo’s elbow score and follow-up was maintained for a period of 45 days and test for statistical significance were applied. RESULTS: After assessing 30 patients in each group we found out that mean mayo score was 98 in cross pinning group and 96.83 in lateral pinning group. This difference is statistically not significant. (p value - 0.502). CONCLUSION: In our study we conclude that, Lateral pinning is an equally good treatment choice in these fractures and especially for grossly swollen elbows in which medial epicondyle is barely palpable with increased risk of ulnar nerve injury during placement of medial pin. Both the methods offer consistently satisfactory functional and cosmetic results.
Authors and Affiliations
Nirav S. Patel, Paresh V. Patil, Kiran L. Gaonkar, Pravin P. Patil, Himanshu Kulkarni, Ketan R. Gupta, Mandar S. Shaha, Nagesh R. Desai
Keywords
Related Articles
- EP ID EP223161
- DOI 10.18410/jebmh/2015/113
- Views 77
- Downloads 0
SAFETY AND EFFICACY OF CABERGOLINE ON PREGNANCY OUTCOME IN PATIENTS WITH MICROPROLACTINOMA
BACKGROUND Cabergoline (CAB) has emerged as an effective and well-tolerated drug for the treatment of hyperprolactinemia. However, the drug was included in the pregnancy risk category B by US Food and drug administration...
STUDY OF INCIDENCES OF NON SPECIFIC ULCER OF FOOT AND LEG IN AND AROUND KULASEKARAM
AIM The objective of present study in to know the incidences of non-Specific Ulcer of foot & Leg in and around Kulasekaram of rural population of Kanyakumari District. PLACE OF STUDY This study was done in inpatient depa...
PREVALENCE OF ARSENICOSIS AND ITS RELATION TO DRINKING WATER IN TITABOR BLOCK OF JORHAT DISTRICT, ASSAM, INDIA
BACKGROUND Human health effects due to chronic exposure of arsenic from drinking water is a major public health problem worldwide including India. In Assam, the arsenic level in groundwater of Titabor block of Jorhat dis...
ANAESTHETIC IMPLICATION OF THE PARTURIENT WITH JERVELL-LANGE SYNDROME COMING FOR CAESAREAN SECTION
PRESENTATION OF CASE 24 years old female, deaf from childhood, primigravida, presented for elective caesarean section. She had prolonged QT interval in ECG. Further history and examination revealed that she had been hosp...
VALIDITY OF PARACENTESIS IN DIAGNOSING BLUNT TRAUMA ABDOMEN
BACKGROUND Blunt abdominal trauma is a common case that comes to an emergency department and it is the most easily missed diagnosis resulting in catastrophic consequences. Delay in diagnosing a case is due to the nonspec...