PROSPECTIVE RANDOMISED COMPARISON STUDY OF 60 CASES OF TYPE 2 AND TYPE 3 SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN USING CONVENTIONAL CROSS K WIRE FIXATION VS DORGAN'S LATERAL FIXATION

DR. GUNCHA KALIA; DR. NAVNEET SINGH

Volume : VIII, Issue : VII, July - 2018

PROSPECTIVE RANDOMISED COMPARISON STUDY OF 60 CASES OF TYPE 2 AND TYPE 3 SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN USING CONVENTIONAL CROSS K WIRE FIXATION VS DORGAN'S LATERAL FIXATION

Dr. Guncha Kalia, Dr. Navneet Singh

Abstract :

The Aim of this study was to compare the efficacy in terms of cosmetic and functional outcome (FLYNN’s CRITERIA) and ulnar nerve injury between conventional cross pinning (medial and lateral) method and Dorgan’s lateral pinning in type 2 and 3 supracondylar fractures.

Material and Methods . This was a prospective randomized study of 60 patients who presented at Maharishi Markandeshwar Medical College and Hospital , Kumarhatti , Solan. Patients were divided into two groups of 30 each and fixed by two different methods as described above. The study was done from year 2017 to 2018.

Results. All 60 patients were followed up from 2 to 12 months. According to criteria of Flynn et al. clinical cosmetic outcome was satisfactory in 90%(crossed pinning) and 96.66%(Dorgan’s lateral pinning ).Functional outcome was satisfactory in 90% (crossed pinning) and 96.66%( in Dorgan’s method).The differences were not statistically significant. Iatrogenic post operative ulnar nerve injuries occurred in 4 patients of crossed pinning method but none in those fixed by Dorgan’s method

Conclusion. Both Dorgan’s and crossed pinning method are good methods of fixation .