COMPARATIVE STUDY OF FIXATION OF SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN BY MEDIAL AND LATERAL VERSUS LATERAL PINNING

Dr G N Pundkar; Dr Sameer Gupta; Dr R W. Baitule; Dr Suyog Rathi

Volume : VIII, Issue : VII, July - 2019

COMPARATIVE STUDY OF FIXATION OF SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN BY MEDIAL AND LATERAL VERSUS LATERAL PINNING

Dr G N Pundkar, Dr Sameer Gupta, Dr R W. Baitule, Dr Suyog Rathi

Abstract :

Background: Supracondylar fractures of humerus are one of the most common fractures in paediatric age group. Closed reduction and percutaneous K–wire fixation is one of the most commonly used treatment modality . A observational study was undertaken to compare functional outcome and complications in medial – lateral versus lateral pinning. Material and methods: This is a observational study . A total of 140 patients of displaced supracondylar fracture aged between 4–14 years, without any compound injury or comminution were enrolled for the study and randomly divided into two groups, each of 70 patients. One group was assigned treatment of medial – lateral pinning and other group with lateral pinning respectively and outcome was evaluated on basis of “FLYNN’S” criteria. Results: After assessment of 70 patients in each group we found out that FLYNN’S was 84.3% in lateral pinning group and 87% in medial – lateral pinning group. This difference is statistically not significant. Conclusion: In our study we conclude that, lateral pinning is an equally good treatment choice in these fractures. Also, risk of ulnar nerve injury during placement of medial pin is eliminated in lateral parallel k wires. Both the methods offer consistently satisfactory functional and cosmetic results