Evaluation of Percutaneous Pinning Techniques in Management of Pediatric Supracondylar Humeral Fractures

Hisham Emhemed Gheit,

Published on: 2020-02-03

Abstract

Background: Supracondylar fracture institute 60-65% of the fractures nearby the elbow joint classified according to modified Gartland’s criteria. The closed reduction and percutaneous pinning fixation are the best broadly recognized way of management, but disagreement stays about the pin fixation techniques.
Aim of the study: To the evaluation of percutaneous pinning techniques in the management of displaced supracondylar humeral fractures Gartland type II, III.
Materials and method: A prospective analysis of 30 patients admitted in the Orthopedic Department of Zagazig university hospital in the period between Jan 2019 and Jul 2019. Type II was affected in 24 patients and type III was 6 patients, were randomized into two groups-lateral pin fixation (n=22) and medial-lateral pin fixation (n=8). Everyone in the patient’s primary assessment was achieved for the loss of reduction, vascular, and iatrogenic ulnar nerve injury. The patients were assessed clinically by Flynn criteria post-operatively.
Results: Regarding Flynn’s criteria, satisfactory was 86.7%, which is excellent, and Unsatisfactory was 13.3%, which is fair and poor. Regarding complications, there is no case of vascular injury or Cubits Varus, and the Pin tract infection was 13.3%, and Ulnar nerve injury was 3.3%. The unsatisfactory group was significantly associated with associated injuries and significantly associated with loss of reduction, pin tract infection, and ulnar nerve injury.
Conclusions: The closed reduction and percutaneous K-wire fixation are reliable, minimally invasive, rapid, and a consistent method for treatment of unstable type II, III Gartland supracondylar fractures in pediatrics with small or minimal complication.

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