Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus
Objective: To compare the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinning in children with Gartland type-III supracondylar fracture of the humerus. Study Design: Quasi-experimental study Place and Duration of the Study: Departme...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-03-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/8032 |
| _version_ | 1797856292108238848 |
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| author | Pervez Ali Kashif Mehmood Khan Riaz Elahi Khoso Shazia Soomro Ranjeet Kumar Annam . |
| author_facet | Pervez Ali Kashif Mehmood Khan Riaz Elahi Khoso Shazia Soomro Ranjeet Kumar Annam . |
| author_sort | Pervez Ali |
| collection | DOAJ |
| description |
Objective: To compare the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinning in children with Gartland type-III supracondylar fracture of the humerus.
Study Design: Quasi-experimental study
Place and Duration of the Study: Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Center, Karachi Pakistan,from Sep 2019 to Aug 2020.
Methodology: A total of 98 patients aged of 2 to 15 years, of either gender, with Gartland type III supracondylar fracture were included in the study. By blocked randomization, patients were randomly assigned into two groups (49 each), Group-A (CRPP) and Group-B (ORIF). All of the patients were prospectively followed up after six months, assessed for the functional outcome according to Flynn's criteria, and classified as satisfactory and unsatisfactory based on functional and cosmetic factors.
Results: The mean age in our study population was 8.2±3.4 years and 7.1±2.3 years in ORIF and CRPP Groups, respectively.The right arm was shown to be more commonly involved than the left arm in our population demographics, and RTA was determined to be the most frequent cause of supracondylar fractures. Functional outcomes were satisfactory for 68 individuals (69.4%), out of which 40(40.8%) belonged to the ORIF Group, and 28(28.6%) belonged to the CRPP Group, respectively.
Conclusion: It is to be concluded that a significant difference was noted in terms of satisfactory outcomes between CRPP versus ORIF in the treatment of supracondylar fracture of humerus in children and that ORIF can be considered a valid firstline treatment for Type III supracondylar humer........
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| first_indexed | 2024-04-09T20:39:13Z |
| format | Article |
| id | doaj.art-8cf633861734450cbb464861e3040eb4 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-09T20:39:13Z |
| publishDate | 2023-03-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-8cf633861734450cbb464861e3040eb42023-03-30T06:24:51ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-03-0173110.51253/pafmj.v73i1.8032Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of HumerusPervez Ali0Kashif Mehmood Khan1Riaz Elahi Khoso2Shazia Soomro3Ranjeet Kumar4Annam .5Jinnah Postgraduate Medical Centre (JPMC) Karachi, PakistanJinnah Postgraduate Medical Centre (JPMC) Karachi, PakistanJinnah Postgraduate Medical Centre (JPMC) Karachi, PakistanNational Institute of Child Health (NICH) Karachi, PakistanJinnah Postgraduate Medical Centre (JPMC) KarachiJinnah Postgraduate Medical Centre (JPMC) Karachi Objective: To compare the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinning in children with Gartland type-III supracondylar fracture of the humerus. Study Design: Quasi-experimental study Place and Duration of the Study: Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Center, Karachi Pakistan,from Sep 2019 to Aug 2020. Methodology: A total of 98 patients aged of 2 to 15 years, of either gender, with Gartland type III supracondylar fracture were included in the study. By blocked randomization, patients were randomly assigned into two groups (49 each), Group-A (CRPP) and Group-B (ORIF). All of the patients were prospectively followed up after six months, assessed for the functional outcome according to Flynn's criteria, and classified as satisfactory and unsatisfactory based on functional and cosmetic factors. Results: The mean age in our study population was 8.2±3.4 years and 7.1±2.3 years in ORIF and CRPP Groups, respectively.The right arm was shown to be more commonly involved than the left arm in our population demographics, and RTA was determined to be the most frequent cause of supracondylar fractures. Functional outcomes were satisfactory for 68 individuals (69.4%), out of which 40(40.8%) belonged to the ORIF Group, and 28(28.6%) belonged to the CRPP Group, respectively. Conclusion: It is to be concluded that a significant difference was noted in terms of satisfactory outcomes between CRPP versus ORIF in the treatment of supracondylar fracture of humerus in children and that ORIF can be considered a valid firstline treatment for Type III supracondylar humer........ https://www.pafmj.org/index.php/PAFMJ/article/view/8032Closed reductionCRPPORIF FracturesGartland classificationHumerusORIF |
| spellingShingle | Pervez Ali Kashif Mehmood Khan Riaz Elahi Khoso Shazia Soomro Ranjeet Kumar Annam . Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus Pakistan Armed Forces Medical Journal Closed reduction CRPP ORIF Fractures Gartland classification Humerus ORIF |
| title | Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus |
| title_full | Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus |
| title_fullStr | Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus |
| title_full_unstemmed | Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus |
| title_short | Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus |
| title_sort | comparison of the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinningin children with gartland type iii supracondylar fracture of humerus |
| topic | Closed reduction CRPP ORIF Fractures Gartland classification Humerus ORIF |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/8032 |
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