Percutaneous Pinning in Gartland Type-II and III Supracondylar Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 02
Abstract
Objective:To explorethe safety and effectiveness of thepercutaneous pinning technique inthe management ofGartland type-II and III supracondylar humerus fractures.Methods:This study was carried outduring January 2012toMarch 2013. 30 childrenwith age range5-12 yearswithsupracondylar fracture (Gartland type II & III)were includedwhile others were excluded. Closed reduction and percutaneous pinning were performed after taking informed consent. Outcomeswere recorded according to Flynn’scriteria,that isloss of elbow motion & carrying angle.Results:There were21 (70%) males and 9 (30%) femalesin the current study.18 (60%) patients were having right side affected while12 (40%)had left side. The mean age ofstudy subjects was8.07+2.033 years.The distribution of Gartland Type-III and II fractures was 19 (63.33%) and 11 (36.66%) respectively. Hospital stay time was 6-28 hours with most of thepatients discharged on the same postoperative day. Removal of Posterior slab and pin was carried out after2-4 weeks and 3-4 weeks respectively. Flynn’s criteria showed 20 (66.66%), 8 (26.66%), 2 (6.66%) excellent, goodand fair resultsrespectively. Similarly Flynn’s criteria forassessingloss of range of motion, 17 (56.66%),9 (30%),4 (13.33%) patients had excellent, good andfair outcomes respectively. No neurovascular injury was observedduringoperation as well aspostoperatively.Conclusion:Percutaneous pinning is an effective and safe technique in Gartland Type-II & III Supracondylar fractures in children.
Authors and Affiliations
Anwar ul Haq,Syed MuhammedAli,Imtiaz Ahmed Tago,Siraj Ahmed Butt
Keywords
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