Open AccessEarly results of displaced supracondylar fractures of humerus in children treated by closed reduction and percutaneous pinning
Author(s) -
Anmol Sharma,
Jaswinder Pal Singh Walia,
Bhupinder Singh Brar,
Suman Sethi
Publication year - 2015
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.164039
Subject(s) - medicine , surgery , percutaneous pinning , neurovascular bundle , elbow , humerus , reduction (mathematics) , olecranon , percutaneous , ulnar nerve , geometry , mathematics
Displaced supracondylar fractures are notorious for difficulty in reduction, maintenance of reduction and frequent involvement of neurovascular structures. No general agreement on the treatment is evident with controversy prevailing regarding the ideal timing of surgery, method of maintenance of reduction and configuration of the pin fixation. A crossed pin configuration, though believed by some to be mechanically more stable than the lateral pins alone, has the risk of ulnar nerve injury due to the medial pin. Lateral pins alone impart less rotational stability to the fracture although it has been attributed mainly to technical errors of pin placement. The aim of this study was to assess the efficacy of treatment of this fracture using one lateral and one trans-olecranon K-wires or lateral entry K-wires alone.