Is Percutaneous Fixation Necessary & Adequate For Displaced Supracondylar Fractures of Humerus in Children? - An Institutional Study
Supracondylar humerus fracture (SCHF) is frequently encountered in pediatric age group and nearly three fourth of all upper extremity fractures. Most commonly used technique for surgical treatment in the displaced SCHF in children is closed reduction and stabilization with percutaneous pins. Ai...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2021-10-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/2021-vol9-issue-2/originalarticle14_v2.pdf |
| Summary: | Supracondylar humerus fracture (SCHF) is frequently
encountered in pediatric age group and nearly three fourth of
all upper extremity fractures. Most commonly used technique
for surgical treatment in the displaced SCHF in children is closed
reduction and stabilization with percutaneous pins.
Aim: This retrospective study was conducted to find out the
outcome and safety of percutaneous pinning techniques which
includes lateral pinning and cross pinning in terms of functional
and radiological outcome in the management of displaced
supracondylar humerus fractures in children and to see the
associated complications with this method of fixation.
Materials & Methods: This retrospective study comprising of
40 cases of displaced supracondylar humerus fracture, treated
with lateral or cross pinning was carried out at Orthopedics
Department, Gujarat Adani Institute of Medical Sciences and
G.K General Hospital, Bhuj from July 2019 to june2020. The
inclusion criteria were: a) Gartland extension type II, III, b) age
below 12 years, c) presented to OPD/Emergency within 48
hours of injury, d) closed and gustilo grade I open fractures,
Patients with: a) extension Type I of fractures, b) flexion type
injuries, c) except Gustilo grade 1 open fracture d) age more
than 12 year e) pervious history of fractures or nerve injury
around the elbow, were excluded from the study.
Results: Out of the 40 patients, 25 (62.5%) were male and
15(37.5%) were female. The children were aged 2 years to 12
years with a median age of 7.67 years. There were 19 left
sided and 21 right-sided fractures. 29 children had an injury
while playing and 11 had a fall from a height. functional results
in our study were 67.5% of cases had excellent results, 25%
had good results, 5% had a fair result and 2.5% had a poor
result. 75% of cases had excellent cosmetic results were 17.5%
of cases had good results, 5% had fair result and only one case
had a poor result.
Conclusion: In our study, we found that anatomical reduction
and intra- operative stability will dictate the type of
configuration to be used in SCHF |
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| ISSN: | 2348-1447 2348-229X |