Medio-lateral entry pin versus lateral entry pin for displaced pediatric supracondylar fractures: A comparative, prospective study
<p class="Default"><strong>Background & Objectives: </strong>Supracondylar fracture is one of the commonest fractures in children. Although the technique of pinning is controversial, percutaneous medio-lateral entry pinning is theoretically considered more stable...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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College of Medical Sciences
2016-01-01
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| Series: | Journal of College of Medical Sciences-Nepal |
| Subjects: | |
| Online Access: | http://www.nepjol.info/index.php/JCMSN/article/view/14322 |
| Summary: | <p class="Default"><strong>Background & Objectives: </strong>Supracondylar fracture is one of the commonest fractures in children. Although the technique of pinning is controversial, percutaneous medio-lateral entry pinning is theoretically considered more stable biomechanical construct. The drawback of this method is injury to ulnar nerve which is not encountered in only lateral entry pinning.</p><p class="Default"><strong>Materials & Methods: </strong>This was a prospective, comparative and observational study done in 60 patients which was alternately divided into two groups. The first group (A) underwent medio-lateral entry pinning and the second group (B) underwent lateral entry pinning. They were followed for 24 weeks and the outcome was assessed using Flynn’s criteria.</p><p class="Default"><strong>Results: </strong>At twenty-four weeks, the mean loss of range of motion of elbow in medio-lateral pinning group was 3.70 degrees (SD±1.93) and that in lateral pinning group was 4.23 degrees (SD ±1.38). The mean loss in carrying angle at twenty-four weeks in medio-lateral group was 2.93 degrees (SD±2.19) and that in lateral group was 4.17 (SD±2.24). There were 2 (6.67%) cases of iatrogenic ulnar nerve injury in medio-lateral pinning group. Out of thirty patients, in medio-lateral pinning group, 25 had excellent results, 5 had good results and none had fair or poor results. While out of 30 patients in lateral pinning group, 23 had excellent results, 7 had good results and none had fair or poor results.</p><p class="Default"><strong>Conclusion: </strong>There is no significant difference in outcome in terms of loss of carrying angle and range of motion between the medio-lateral pinning group and the lateral pinning group at the end of 6 months.</p>Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 28-31 |
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| ISSN: | 2091-0657 2091-0673 |