COMPARISON OF TREATMENT OUTCOMES FOR PEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES USING CLOSED REDUCTION WITH LATERAL PINNING VERSUS CROSSED PINNING UNDER FLUOROSCOPY
Main Article Content
Abstract
Background: Supracondylar fractures of the humerus are more common in children than adults. The current effective treatment with fewer complications is closed reduction and Kirschner wire fixation. The technique of Kirschner wire insertion is still debated. Objectives: 1). To evaluate the treatment outcomes of supracondylar humeral fractures. 2). To compare the treatment outcomes of closed reduction with lateral pinning versus cross-pin fixation in pediatric supracondylar fractures. Materials and methods: A prospective cohort study on thirty-two patients with lateral pin fixation (51.6%) and thirty patients with crossed bicortical pin fixation (48.4%) for Gartland type II and III fractures were followed for an average of three months post-surgery. Results: The clinical carrying angle and functional rehabilitation outcomes, assessed using Flynn’s criteria, were rated as good or fair in 87% of cases. Comparison between the two pinning techniques using the Fisher's Exact Test showed no statistically significant difference (p > 0.05). No cases of radial or ulnar nerve palsy were observed. Conclusion: There was no significant difference in treatment effectiveness between the two techniques. However, lateral pinning avoids the complication of ulnar nerve injury.
Keywords
Supracondylar fracture, cross-pin fixation, lateral pinning
Article Details
References
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