Functional and radiological outcome of supracondylar humerus fractures in children with lateral pinning: a retrospective analysis.

Ganesh R. Yeotiwad; Harshad G. Argekar; Sagar G. Daliya; Chintan S. Vaidya

Volume : VIII, Issue : IX, September - 2019

Functional and radiological outcome of supracondylar humerus fractures in children with lateral pinning: a retrospective analysis.

Ganesh R. Yeotiwad, Harshad G. Argekar, Sagar G. Daliya, Chintan S. Vaidya

Abstract :

Supracondylar humerus fractures being the most common pediatric fracture around the elbow. Closed reduction and percutaneous Kirschner wire (k-wire) fixation is now considered as standard method for surgical management of displaced fractures. The optimal configuration of percutaneous pin fixation is however still debatable. This study was conducted to find out the outcome of percutaneous lateral pinning in the management these fractures. Functional outcome was calculated as per Flynn�s criteria. Total of 25 cases were studied, out of which, 20 (80 %) had excellent, 4 (16 %) had good, 1 (4 %) had fair outcome. No poor outcome at the final follow-up of 6 months. No case postoperative of ulnar nerve palsy was seen. We conclude that closed reduction and fixation of Gartland type II and III paediatric supracondylar fractures with lateral pinning is safe and effective without the risk of iatrogenic ulnar nerve injury.