Volume : 5, Issue : 4, April - 2016

A Comparatives Study of Crossed Versus Lateral Pinning in the Treatment of Displaced Extension-Type Supracondylar Fractures of the Humerus

Dr. Gaurav P. Vala, Dr. Rajdeepsinh Chauhan, Dr. D. M. Raiyani

Abstract :

<p>&lt;p&gt;&amp;lt;p&amp;gt;&amp;amp;nbsp;Introduction : Supracondylar fracture of humerus in children are one of the commonest injury around the elbow. The most common type is extension-type (95%).There has always been conflicts, about type of operative management of displaced fracture between lateral &amp;amp;amp; cross pinning. The purpose of our study was to evaluate and compare the two pinning techniques in terms of functional outcome and complications if any, in children with supracondylar fractures of humerus. Material and Methods : 40 children with fracture of supracondylar humerus out of which 26 were boys and 14 girls taken for retrospective study at C.U.Shah medical college during august 2013 to June 2015 Patients were analyzed clinically &amp;amp;amp; radiologically using Flynn&amp;amp;rsquo;s criteria. Out of 40 cases, 23 patient treated with lateral pinning and 17 with cross pinning technique based on surgeon&amp;amp;rsquo;s preference. Results : Among patients treated with lateral pinning technique, 16 (69.57%) had excellent outcome, 6 (26.09%) had good outcome while 1 (4.34%) had fair outcome. Similarly in patients treated with cross pinning technique, 12 (70.59%), 3 (17.65%), 1 (5.88%), 1 (5.88%) had excellent, good and fair, poor outcomes respectively. Two patients developed superficial pin tract infections which were treated successfully with regular dressings and oral antibiotics. One patients developed iatrogenic ulnar nerve injury in the cross pinning group. Conclusion : There is no significant difference between the two pinning techniques based on clinical outcome in our study. But no chances of ulnar nerve palsy with lateral pinning so our study results support the use of lateral pinning for displaced supracondylar fractures.&amp;lt;/p&amp;gt;&lt;/p&gt;</p>