Cross Pinning Versus Lateral Pinning in the Management of Type III Supracondylar Humerus Fractures in Children.

Autor: Naik LG; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India., Sharma GM; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India., Badgire KS; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India., Qureshi F; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India., Waghchoure C; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India., Jain V; Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India.
Jazyk: angličtina
Zdroj: Journal of clinical and diagnostic research : JCDR [J Clin Diagn Res] 2017 Aug; Vol. 11 (8), pp. RC01-RC03. Date of Electronic Publication: 2017 Aug 01.
DOI: 10.7860/JCDR/2017/28481.10351
Abstrakt: Introduction: Closed reduction of supracondylar humerus fractures with K-wires has become the standard line of management with different opinions regarding the technique that is utilized.
Aim: To compare the functional and radiological outcomes of lateral and cross pinning technique in supracondylar fractures of humerus in children.
Materials and Methods: A prospective study with 57 cases of displaced fracture supracondylar humerus, treated by lateral (Group A n=28) and cross pinning (Group B n=29), was conducted between May 2013 and May 2015. Independent sample student's t-test was done to assess the parameters like age, follow-up and duration of surgery. The results were expressed as mean with standard deviation and p<0.05 was considered as statistically significant.
Results: As per the Gartland classification system, 46 (80.7%) patients had Type IIIA and 11 (19.2%) patients had Type IIIB fracture. The average surgical time was 28.3±1.6 minutes in Group A and 30±3.6 minutes in Group B (p=0.02). About, 3.5% patients in Group A had pin loosening. As per the Flynn criteria, 78.6% in Group A and 79.3% in Group B had excellent results.
Conclusion: No significant difference in terms of functional and radiological outcome was observed between both the techniques. Thus, both the techniques have equal results.
Databáze: MEDLINE
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