Open AccessOutcome Analysis of Lateral Pinning for Displaced Supracondylar Fractures in Children Using Three Kirschner Wires in Parallel and Divergent Configuration
Author(s) -
Nirmal Raj Gopinathan,
Mohammad Sajid,
Pebam Sudesh,
Prateek Behera
Publication year - 2018
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/ortho.ijortho_462_17
Subject(s) - medicine , fixation (population genetics) , humerus , kirschner wire , elbow , surgery , percutaneous , range of motion , percutaneous pinning , reduction (mathematics) , orthopedic surgery , internal fixation , population , geometry , environmental health , mathematics
Supracondylar humerus fracture is the most common fracture around elbow in children. Closed reduction and percutaneous Kirschner wire (pin) fixation is the standard method of managing displaced extension type (Gartland Type II and Type III) supracondylar humerus fractures. The configuration of wires is debatable. Although two crossed K-wires are mechanically stable, there is an inherent risk of ulnar nerve injury. Lateral K-wires - parallel or divergent - are good alternative. This study was aimed at identifying the best configuration for the lateral wires.