Functional Outcomes In Fracture Of Supracondylar Humerus In Children Treated With Percutaneous Pinning With Cross K Wires
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 6, Issue 1
Abstract
Background:Fracture of Supracondylar humerus is the most common elbow fractures in children. Percutaneous pinning is an effective modality of treatment, as it obliterates the problem of maintenance of reduction of the fracture . Methods: 30 patients coming to the hospital during the period from October 2012 to October 2015 with closed Gartland type II and III supracondylar humerus fracture and managed with percutaneous pinning with two cross K-wires were included. Anteroposterior and lateral view X-rays of the affected as well as the normal elbow were taken and assessed regarding union, carrying angle,metaphyseal-diaphyseal angle. Mitchell and Adam`s criteria were used for evaluation of the final functional outcome . Results: The final functional outcome assessed according to Mitchell and Adam`s criteria, was excellent in 86.66%, good in 10%, Unsatisfactory or poor in 3.33% patients. Conclusion: Use of a medial entry pin for the treatment of fracture of supracondylar humerus in children by closed reduction and percutaneous pinning using cross K-wires is safe as far as iatrogenic ulnar nerve injury and vascular complications are concerned, if an adequate technique is followed. Closed reduction and percutaneous pinning with medial and lateral cross K-wires offers a practically feasible, economically viable and an effective treatment method for displaced fracture of supracondylar humerus .
Authors and Affiliations
Laxmi Narayan Meena, D R Galfat
Keywords
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