Open AccessIs Percutaneous Fixation Necessary & Adequate For Displaced Supracondylar Fractures of Humerus in Children? - An Institutional Study
Author(s) -
Vishal Ashokraj Pushkarna,
Vivek Amritbhai Patel
Publication year - 2021
Publication title -
perspectives in medical research
Language(s) - English
Resource type - Journals
eISSN - 2348-229X
pISSN - 2348-1447
DOI - 10.47799/pimr.0902.14
Subject(s) - medicine , percutaneous pinning , humerus , surgery , orthopedic surgery , percutaneous , retrospective cohort study , elbow , radiological weapon
Supracondylar humerus fracture (SCHF) is frequentlyencountered in pediatric age group and nearly three fourth ofall upper extremity fractures. Most commonly used techniquefor surgical treatment in the displaced SCHF in children is closedreduction and stabilization with percutaneous pins.Aim: This retrospective study was conducted to find out theoutcome and safety of percutaneous pinning techniques whichincludes lateral pinning and cross pinning in terms of functionaland radiological outcome in the management of displacedsupracondylar humerus fractures in children and to see theassociated complications with this method of fixation.Materials & Methods: This retrospective study comprising of40 cases of displaced supracondylar humerus fracture, treatedwith lateral or cross pinning was carried out at OrthopedicsDepartment, Gujarat Adani Institute of Medical Sciences andG.K General Hospital, Bhuj from July 2019 to june2020. Theinclusion criteria were: a) Gartland extension type II, III, b) agebelow 12 years, c) presented to OPD/Emergency within 48hours of injury, d) closed and gustilo grade I open fractures,Patients with: a) extension Type I of fractures, b) flexion typeinjuries, c) except Gustilo grade 1 open fracture d) age morethan 12 year e) pervious history of fractures or nerve injuryaround the elbow, were excluded from the study.Results: Out of the 40 patients, 25 (62.5%) were male and15(37.5%) were female. The children were aged 2 years to 12years with a median age of 7.67 years. There were 19 leftsided and 21 right-sided fractures. 29 children had an injurywhile playing and 11 had a fall from a height. functional resultsin our study were 67.5% of cases had excellent results, 25%had good results, 5% had a fair result and 2.5% had a poorresult. 75% of cases had excellent cosmetic results were 17.5%of cases had good results, 5% had fair result and only one casehad a poor result.Conclusion: In our study, we found that anatomical reductionand intra- operative stability will dictate the type ofconfiguration to be used in SCHF