Study of clinical and radiological outcomes in paediatric supracondylar humerus fractures treated with 3 lateral pins versus crossed pins
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Paediatric supracondylar fractures can be challenging to treat and are the most common elbow fractures in children. The most common method of treatment of displaced supracondylar humerus fractures is closed reduction and fixation with Kirschner wires. However, debate still persists regarding the configuration of pin placement for fracture stabilisation. This study compares clinical and radiological outcomes in paediatric supracondylar humerus fractures treated with three lateral pin fixation and crossed pin fixation. It is a prospective study with 60 patients conducted between March 2015 and September 2016. In this study, it was found that there is no significant difference between crossed medial and lateral pin fixation and lateral entry three pin fixation in terms of stability. Lateral pinning is a considerably safer procedure to avoid iatrogenic ulnar nerve palsy. Results show that the Baumann’s Angle was well maintained with significantly lesser chances of varus collapse following cross pinning as against lateral pinning.
Authors and Affiliations
Dr. Jayanta Mandal, Dr. Pushpal Sarkar, Dr. Amit Singh, Dr. Paras Kumar Banka, Dr. Santosh Bindumadhavan
Keywords
Related Articles
- EP ID EP487025
- DOI 10.22271/ortho.2018.v4.i2k.108
- Views 120
- Downloads 0
Complex multiple Metacarpo phalangeal joint dislocation. Is closed reduction, a good treatment option?
Introduction: Multiple Metacarpophalangeal (MCP) joint dislocations are relatively rare in comparison with the single Metacarpophalangeal joint dislocation in either plane with limited literature evidence. Case Report: H...
Male sex preponderance in cerebral palsy
Introduction: Cerebral palsy affects 2 – 3 per 1000 live children. It is a group of movement and postural disorders due to non progressive lesion in the immature brain. There are several proposed antenatal, intra natal,...
Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study
Introduction: The following study was conducted to identify the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fracture treated with LCP using MIPPO. Mate...
Efficacy of distal femoral locking plate in treatment of distal femoral fractures
Aim: To evaluate the efficacy of distal femoral locking plate in treatment of distal femoral fractures. Background: Distal femur fractures are one of the common fractures and constitute 1.6% of all fractures. Different t...
Comparative study between dynamic hip screw & proximal femoral nail in treatment of intertrochanteric fracture
Intertrochanteric fractures are those occurring in the region extending from the extra capsular basilar neck region to the region along the lesser trochanter. Due to an increasing life span and sedentary lifestyle the in...