Outcome of Supracondylar Fractures of Humerus in children treated with Dorgan’s Surgical Technique
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 04
Abstract
Objective: To determine the functional and radiological outcome of supracondylar fractures humerus in children treated with Dorgan’s lateral cross pinning technique. Methods: This descriptive study was carried out at Orthopaedic division Lady Reading Hospital Peshawar and Rahman medical and surgical center Buner Khyber Pakhtunkhwa Pakistan from 2nd June 2017 to 20th June 2019. All children with supracondylar fracture humerus meeting the inclusion criteria were fixed with Dorgan’s lateral k wires stabilization technique. Post operative outcome was assessed with X rays for union/malunion and functionally with Flynn’s criteria and graded as excellent, good, fair and poor. Results: A total of 30 children with mean age 4.90 ± 2.48 years were included in our study. Boys were 20(66.7%) and girls 10(33.3%). There were 11 (36.7%) Gartland type II and 19 (63.3%) Gartland type III fractures.Post operatively radiological union was achieved in all patients. Excellent results were achieved in 22(73.3%), good in 5(16.6%) and fair in 3(10%) patients. No ulnar nerve or radial nerve injury was noted. Conclusion: Excellent and good functional and radiological results were achieved with Dorgan’s lateral cross pinning technique. We recommend this technique as first line treatment option to stabilize supracondylar humerus fractures in children.
Authors and Affiliations
Ihsanullah1, Muhammad Inam2, Khalid3, Muhammad Shabir4, Mian Amjad Ali5
Keywords
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