Prospective Observational Study of Management of Supracondylar Fracture Humerus by Various Closed Pinning Methods
Journal Title: International Journal of Research and Review - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Supracondylar fracture of humerus is the most common elbow injury in children and makes up to 60% of all elbow injuries. Great diligence is required to secure an excellent result and to avoid or minimize the crippling complications, such as Volkmann’s ischaemic contracture, myositis-ossification, stiffness, permanent nerve injuries and malunion. Materials and Methods: A prospective study of 35 cases of displaced fracture supracondylar of humerus treated by various closed pinning modalities was done in a tertiary care center, Mumbai, between May 2011 and June 2013. A permission to conduct this study has been sought from the hospital ethics committee and written informed consent was obtained by parents. Patients with age <15years, both sex, Gartland type II,III,IV, Close fracture with or without associated with distal neurovascular compromise were included and Patients with age >15 years, Gartland type I, flexion type, open fracture and if any fracture in the ipsilateral limb were excluded. Results: In this study, mean age of the patients was 7.46 years, majority were male children, non dominant side involved more often, out of 35 fracture supracondylar of humerus in children treated, 3 patients with closed reduction 2 lateral k wire, 29 with closed reduction and 2 lateral K–wire and one medial K wire and 3 patients with open reduction and Crisscross K–wire. In this study, good result was found in 85.71% patients, fair in 14.29% patients and poor in 0% patient. 100% Satisfactory result as per Mitchell and Adam’s criteria. Conclusion: Anatomical reduction is must, type II can be managed by closed means better to put k wire to minimize chance of loss of reduction. Results are equal in all type II,III and IV either with 2 lateral k wires/ 2 lateral and one medial k wires/ one lateral and one medial in crisscross k wires with respect to function and cosmetics.
Authors and Affiliations
Vaishnani Kelvin M, Lokesh Gudda Naik
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