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Volume 5 Issue 2 (February, 2017)

Original Articles

Assessment of outcome of fracture supracondylar humerus managed with percutaneous lateral pinning in children
Bhupendra Singh Chauhan, Ajit Kumar Verma

Background: Supracondylar fractures of the humerus comprise 17% of all childhood fractures and also are the commonest elbow injuries in children. The present study was conducted to assess outcome of fracture supracondylar humerus managed with percutaneous lateral pinning in children. Materials & Methods: 42 cases of displaced fracture supracondylar humerus without vascular compromise in children of both genders underwent adequate reduction percutaneous lateral pinning with k wire (1.5/2mm). Loss of elbow motion and carrying angle was measured using Flynn’s criteria. Results: Out of 42 patients, males were 23 and females were 19. Gartland type II was seen in 26 and type III in 16, carrying angle (degree)0-5 was seen in 30, 5-10 in 6, 10-15 in 4 and >15 in 2 patients. Outcome was excellent in 32, good in 8, fair in 2 and poor in 0. The difference was significant (P< 0.05). Conclusion: In children, close reduction and internal fixation with K-wire fixation in Supracondylar fractures of the humerus through percutaneous lateral pinning is a safe procedure that give stable fixation.

 
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