Volume : VII, Issue : V, May - 2018

PERCUTANEOUS FIXATION OF DISPLACED SUPRACONDYLAR FRACTURE IN CHILDREN COMPARING LATERAL WITH MEDIAL AND LATERAL PIN

Dr. Ishani Patel, Dr. Dhaval R Modi, Dr. Kaushal Sisodia

Abstract :

BACKGROUND:

Supracondylar fracture of humerus is one of the most common fracture in the first decade of life. There are various modalities of treatment adviced for the management of type III supracondylar fracture of humerus. At present closed reduction and percutaneous pin fixation is most widely accepted treatment method for displaced supracondylar fracture but controversy persists regarding the optimal pin fixation technique. The purpose of this study was to compare the stability and risk of ulnar nerve injury treated by lateral entry pin fixation with that of medial and lateral pin fixation for Gartland type III supracondylar fracture.

METHOD:

This prospective randomized controlled study was conducted at the department of Orthopaedics in our institute from April 2016 to March 2018. There was totally 66 patients selected for the study between the age three to twelve years. We lost 6 patients for follow up, therefore only 60 patients were included for the study. They were allocated to Group A (Lateral pin fixation) n = 29, and Group B ( Medialand lateral pin fixation) n=31.

RESULTS:

The two groups were evaluated for pre–fracture characteristics and post reduction evaluation at first week, second week, fourth week, sixth week, three months and six months. The mean follow up in group A was 6.2 months and group B was 6.6 months. No major loss of reduction was observed in both the groups whereas there was no significant difference between mild loss of reduction , change in Baumann angle, change inHumerocapitellar angle , Flynn grade, elbow extention and flexion, carrying angle, total range of motion (p>0.05). But there was three ulnar nerve injury in group B.

CONCLUSION:

There was statistically no significant difference between two groups in terms of stability, duration of bone healing and loss of reduction but group B shows three ulnar nerve injuries and none in group A. So we conclude that two or three lateral pin entry, if placed with proper technique, is as stable as medial and lateral pin entry but chances of iatrogenic ulnar nerve injury is low in lateral pin group. So, lateral pin group is more safe.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Ishani Patel, Dr. Dhaval R Modi, Dr. Kaushal Sisodia, PERCUTANEOUS FIXATION OF DISPLACED SUPRACONDYLAR FRACTURE IN CHILDREN COMPARING LATERAL WITH MEDIAL AND LATERAL PIN, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-5 | May-2018


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