PERSPECTIVES IN MEDICAL RESEARCH | 2021
Is Percutaneous Fixation Necessary & Adequate For Displaced Supracondylar Fractures of Humerus in Children? - An\nInstitutional Study
Abstract
Supracondylar humerus fracture (SCHF) is frequently\nencountered in pediatric age group and nearly three fourth of\nall upper extremity fractures. Most commonly used technique\nfor surgical treatment in the displaced SCHF in children is closed\nreduction and stabilization with percutaneous pins.\nAim: This retrospective study was conducted to find out the\noutcome and safety of percutaneous pinning techniques which\nincludes lateral pinning and cross pinning in terms of functional\nand radiological outcome in the management of displaced\nsupracondylar humerus fractures in children and to see the\nassociated complications with this method of fixation.\nMaterials & Methods: This retrospective study comprising of\n40 cases of displaced supracondylar humerus fracture, treated\nwith lateral or cross pinning was carried out at Orthopedics\nDepartment, Gujarat Adani Institute of Medical Sciences and\nG.K General Hospital, Bhuj from July 2019 to june2020. The\ninclusion criteria were: a) Gartland extension type II, III, b) age\nbelow 12 years, c) presented to OPD/Emergency within 48\nhours of injury, d) closed and gustilo grade I open fractures,\nPatients with: a) extension Type I of fractures, b) flexion type\ninjuries, c) except Gustilo grade 1 open fracture d) age more\nthan 12 year e) pervious history of fractures or nerve injury\naround the elbow, were excluded from the study.\nResults: Out of the 40 patients, 25 (62.5%) were male and\n15(37.5%) were female. The children were aged 2 years to 12\nyears with a median age of 7.67 years. There were 19 left\nsided and 21 right-sided fractures. 29 children had an injury\nwhile playing and 11 had a fall from a height. functional results\nin our study were 67.5% of cases had excellent results, 25%\nhad good results, 5% had a fair result and 2.5% had a poor\nresult. 75% of cases had excellent cosmetic results were 17.5%\nof cases had good results, 5% had fair result and only one case\nhad a poor result.\nConclusion: In our study, we found that anatomical reduction\nand intra- operative stability will dictate the type of\nconfiguration to be used in SCHF