Original Research Article
Year: 2018 | Month: March | Volume: 5 | Issue: 3 | Pages: 1-5
Prospective Observational Study of Management of Supracondylar Fracture Humerus by Various Closed Pinning Methods
Vaishnani Kelvin M1, Lokesh Gudda Naik2, Ajit Kumar Kar3, Prashant P. Pawar4, Kalyan V Tadepalli5
1DNB Orthopedics, Clinical Associate, Department of Orthopedics, GT Sheth Orthopedic Hospital, Rajkot - 360001, Gujarat, India.
2DNB Orthopaedics, D-Ortho, Clinical Associate, Department of Orthopaedics,
4Resident, Secondary DNB Orthopaedics, D-Ortho, Department of Orthopaedics,
5Primary DNB Orthopaedics, Department of Orthopaedics,
Sir HN Reliance Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India.
3DNB Orthopaedics, Working as Orthopaedic Surgeon at AMRI Group of Hospital, Bhuvaneshwar, Odisha,
Corresponding Author: Lokesh Gudda Naik
ABSTRACT
Introduction: Supracondylar fracture of humerus is the most common elbow injury in children and makes up to 60% of all elbow injuries. Great diligence is required to secure an excellent result and to avoid or minimize the crippling complications, such as Volkmann’s ischaemic contracture, myositis-ossification, stiffness, permanent nerve injuries and malunion.
Materials and Methods: A prospective study of 35 cases of displaced fracture supracondylar of humerus treated by various closed pinning modalities was done in a tertiary care center, Mumbai, between May 2011 and June 2013. A permission to conduct this study has been sought from the hospital ethics committee and written informed consent was obtained by parents. Patients with age <15years, both sex, Gartland type II,III,IV, Close fracture with or without associated with distal neurovascular compromise were included and Patients with age >15 years, Gartland type I, flexion type, open fracture and if any fracture in the ipsilateral limb were excluded.
Results: In this study, mean age of the patients was 7.46 years, majority were male children, non dominant side involved more often, out of 35 fracture supracondylar of humerus in children treated, 3 patients with closed reduction 2 lateral k wire, 29 with closed reduction and 2 lateral K–wire and one medial K wire and 3 patients with open reduction and Crisscross K–wire. In this study, good result was found in 85.71% patients, fair in 14.29% patients and poor in 0% patient. 100% Satisfactory result as per Mitchell and Adam’s criteria.
Conclusion: Anatomical reduction is must, type II can be managed by closed means better to put k wire to minimize chance of loss of reduction. Results are equal in all type II,III and IV either with 2 lateral k wires/ 2 lateral and one medial k wires/ one lateral and one medial in crisscross k wires with respect to function and cosmetics.
Key words: Supracondylar humerus fracture, K-wire, Closed Reduction, Medial, Lateral.
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