A Comparative Study of Outcome of Percutaneous Lateral And Crossed Pinning In The Treatment of Type Iii Supracondylar Fractures of Humerus In Children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Background and Objectives: The commonly accepted treatment of typeIII, extension-type supracondylar fractures of humerus in children is closed reduction with percutaneous pinning.The present study aims at comparing the functional outcome of percutaneous crossed pinning with lateral pinning.Methods: An analysis of results with regard to ulnar nerve injury, carryingangle and range of movements was made in 22 children with lateral pinning and 38 children with crossed pinning. Functional outcome was graded according to Mitchell and Adams criteria.Results: There was no statistically significant difference with regard to functional outcome,between the two groups. Both methods produced satisfactory results in all cases. Ulnar nerve injury occurred in three cases (5 %) after crossed pinning. One case had significant palsy, which recovered by four months and the other had only ulnar nerve paraesthesia .Interpretations and Conclusions: Percutaneous pinning is an excellentmethod of treatment of type III supracondylar fractures in children. Crossed medial and lateral pinning may be considered the treatment of choice in majority of these fractures, with careful technique safeguarding against ulnar nerve injury. The lateral pinning in an equally good treatment choice especially for the grossly swollen elbows in which the medial epicondyle in barely palpable.
Authors and Affiliations
Harindra Himanshu, Bijoy Kumar, Lal Bahadur Manjhi
Keywords
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- EP ID EP370410
- DOI 10.9790/0853-1704030713.
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