The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures
Background: Supracondylar humerus fracture is the most common elbow fracture in children. While closed reduction and percutaneous pining is the standard treatment method, the ideal pin arrangement is controversial. Objectives: The current study aimed at evaluating the outcome of the closed lateral c...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2016-09-01
|
| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/103 |
| _version_ | 1818385831279198208 |
|---|---|
| author | Hossein Aslani Amirmohammad Navali Taghi Baghdadi Reza Abdy |
| author_facet | Hossein Aslani Amirmohammad Navali Taghi Baghdadi Reza Abdy |
| author_sort | Hossein Aslani |
| collection | DOAJ |
| description | Background: Supracondylar humerus fracture is the most common elbow fracture in children. While closed reduction and percutaneous pining is the standard treatment method, the ideal pin arrangement is controversial.
Objectives: The current study aimed at evaluating the outcome of the closed lateral cross-pinning to treat displaced supracondylar humeral fractures. Patients and method: After closed parallel lateral pin fixation, reduction was unstable in 35 patients, who underwent cross- pinning from lateral entry point. The mean follow-up period was 6 months and all patients were evaluated for the loss of reduction, iatrogenic ulnar nerve injury, and elbow range of motion.
Results: The mean age of the patients was 7 years. All fractures were type III according to the Gartland classification. There was no case of reduction loss or iatrogenic ulnar nerve injury. Elbow range of motion was full. Two patients had malreduction.
Conclusions: Although medial and lateral cross-pinning has the highest stability of pinning techniques, the risk of iatrogenic ulnar nerve injury is significant. Total lateral entry cross-pin fixation method of pediatric supracondylar humerus fractures has similar results to the conventional cross-pin methods regarding the fixation stability, but with lower ulnar nerve injury cases. |
| first_indexed | 2024-12-14T03:44:24Z |
| format | Article |
| id | doaj.art-8ad908e2182a4b478fb82729bf1c2fba |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-12-14T03:44:24Z |
| publishDate | 2016-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-8ad908e2182a4b478fb82729bf1c2fba2022-12-21T23:18:24ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002016-09-012310.5812/jost.10407The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus FracturesHossein Aslani0Amirmohammad Navali1Taghi Baghdadi2Reza Abdy3Associated Professor of Orthopedics and Pediatric Orthopedic Surgeon, Tabriz University of Medical Sciences, Shohada Educational Hospital, Tabriz, IranProfessor of Orthopedics, Tabriz University of Medical Sciences, Tabriz, Iran Associated Professor of Orthopedics and Pediatric Orthopedic Surgeon, Tehran University of Medical Sciences, Tehran, IranAssistant Professor of Orthopedics and Pediatric Orthopedic Surgeon, Birjand University of Medical Sciences, Birjand, Iran Background: Supracondylar humerus fracture is the most common elbow fracture in children. While closed reduction and percutaneous pining is the standard treatment method, the ideal pin arrangement is controversial. Objectives: The current study aimed at evaluating the outcome of the closed lateral cross-pinning to treat displaced supracondylar humeral fractures. Patients and method: After closed parallel lateral pin fixation, reduction was unstable in 35 patients, who underwent cross- pinning from lateral entry point. The mean follow-up period was 6 months and all patients were evaluated for the loss of reduction, iatrogenic ulnar nerve injury, and elbow range of motion. Results: The mean age of the patients was 7 years. All fractures were type III according to the Gartland classification. There was no case of reduction loss or iatrogenic ulnar nerve injury. Elbow range of motion was full. Two patients had malreduction. Conclusions: Although medial and lateral cross-pinning has the highest stability of pinning techniques, the risk of iatrogenic ulnar nerve injury is significant. Total lateral entry cross-pin fixation method of pediatric supracondylar humerus fractures has similar results to the conventional cross-pin methods regarding the fixation stability, but with lower ulnar nerve injury cases.https://jost.tums.ac.ir/index.php/jost/article/view/103Ulnar NerveSupracondylar FractureClosed PinningCross-Pinning |
| spellingShingle | Hossein Aslani Amirmohammad Navali Taghi Baghdadi Reza Abdy The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures Journal of Orthopedic and Spine Trauma Ulnar Nerve Supracondylar Fracture Closed Pinning Cross-Pinning |
| title | The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures |
| title_full | The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures |
| title_fullStr | The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures |
| title_full_unstemmed | The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures |
| title_short | The Outcome of Closed Reduction and Total Lateral Entry Crossed Pin Fixation of Unstable Type III Pediatric Supracondylar Humerus Fractures |
| title_sort | outcome of closed reduction and total lateral entry crossed pin fixation of unstable type iii pediatric supracondylar humerus fractures |
| topic | Ulnar Nerve Supracondylar Fracture Closed Pinning Cross-Pinning |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/103 |
| work_keys_str_mv | AT hosseinaslani theoutcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT amirmohammadnavali theoutcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT taghibaghdadi theoutcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT rezaabdy theoutcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT hosseinaslani outcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT amirmohammadnavali outcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT taghibaghdadi outcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures AT rezaabdy outcomeofclosedreductionandtotallateralentrycrossedpinfixationofunstabletypeiiipediatricsupracondylarhumerusfractures |