PERCUTANEOUS PINNING IN DISPLACED SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN

Authors

  • Muhammad Shoaib
  • Shahid Sultan
  • Sohail Ahmed Sahibzada
  • Azmat Ali

Abstract

Background: Supracondylar  fracture of humerus is the most common fracture in first decade of life. There are various treatment modalities for this fracture i.e closed reduction and casting, open reduction and internal fixation and percutaneous pinning. Study was conducted to know the outcome of Percutaneous Pinning in the management of displaced supracondylar fracture of humerus in children.  Methods: This study was conducted at orthopedic unit of Khyber Teaching Hospital Peshawar from January 1996 to December 2000. Twenty children of 3-12 years age with displaced supracondylar fracture (Gartland type II & III) of humerus were included. Outcome measures were according to Flynn criteria i.e loss of elbow motion & carrying angle. Results: The children presenting were 14 male (70%) and 6 females (30%).The involved side was left in fifteen (75%) and right in five (25%) of patients. Nineteen patients (95%) had extension type & one patient (5%) had flexion type of fracture. Gartland type II were six (30%) & type III were fourteen (70%). Our result showed excellent outcome in thirteen (65 %), good outcome in four (20 %) and poor outcome in three (15 %) patients. Conclusion: Percutaneous pinning is safe, cost effective, time saving and provides greater skeletal stability with excellent results.Key Words: Percutaneous Pinning, Supracondylar fracture, Humerus fractures.

References

Eliason EL. Dressing for supracondylar fracture of humerus. JAMA 1924; 82: 1934-5.

Wilson PD. Fractures and dislocation in the region of elbow. Surg Gynecol Obstet 1933; 56: 335-59.

Abraham E, Powers T-Vitt. Excremental hyper extension of supracondylar fracture in monkeys. Clin Orthop 1982; 171: 309-18.

Gillingham BL, Rang M. Advances in children elbow fractures (editorial). J Pediatr Orthop 1995; 15: 419-21.

McIntyre W. Supracondylar fracture of humerus. In: Eltts RM (ed) Management of paediatric fractures. New York: Churchill Livingstone, 1994: 167-91.

Cotton FJ. Elbow fractures in children. Ann Surg 1902; 35: 252-69.

Green NE. Overnight delay in the reduction of supracondylar fractures of the humerus in children. J Bone Joint Surg 2001; 83: 321-2.

Piron AM, Gronam HK, Kraj Bich JI. Management of displaced extension type of supracondylar fracture of humerus in children. J Bone Joint Surg 1988; 70-A: 641-50.

Sandegard E fracture of lower end of humerus in children. Treatment and end results. Act Chir Scand 1944;89:116-9

Mostafavi HR, Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. Clin Orthop 2000; 376: 56-61.

O’Hara LJ, Barlow JW, Clarke NM. Displaced supracondylar fractures of the humerus in children. Audit changes practice. J Bone Joint Surg Br 2000; 82: 204-10.

Flynn JC, Mattews JG, Beriot RL. BUCD pinning of displaced supracondylar fracture of humerus in children. J Bone Joint Surg 1974: 56-A: 263-72.

Minkowitz B, Busch MT. Supracondylar fracture of humerus, current trends and controversies. Orthop Clin North Am 1994; 25: 581-94.

Iqbal J. Supracondylar Fracture of humerus in children- An experience of closed reduction and percutaneous pinning. Ann King Edward Med Coll Dec 2001;7(4):278-80

Gartland JJ. Management of supracondylar fracture of humerus in children. Surg: Gynecol Obstet 1959;109:145-54.

Rejholec M. Supracondylar fractures of the humerus in children – closed pinning. Sb Lek 1999;100:279-86.

Ababneh M, Shannak A, Agabi S, Hadadi S. The treatment of displaced supracondylar fractures of the humerus in children. A comparison of three methods. Int Orthop 1998; 22: 263-5.

Umar M, D Sousa OP. Supracondylar fracture of humerus in children. An analysis of different treatment modalities at the Agha Khan University Hospital Karachi, Pakistan. Pakistan J Surg 1991; 7: 16-22.

Din SU, Ahmad I. Percutaneous crossed pin fixation of supracondylar Humeral fracture in children. J Postgrad Med Inst Jun 2003;17(2):184-8.

Cekanauskas E ,Degliute R, Kalesinskas RJ. Treatment of supracondylar fracture in children according to Gartland classification. Medicina (Kaunas) 2003;39:379-83.

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