OUTCOME OF CLOSED REDUCTION AND PERCUTANEOUS PINNING IN SUPRACONDYLAR TYPE II AND III FRACTURES IN CHILDREN

Abstract

Background: Supracondylar fracture of humerus in children is distinct from that of adults. Percutaneous pinning for treatment of displaced supracondylar fractures is one of the modality. This study was conducted to determine outcome of closed reduction and percutaneous pinning in supracondylar type II and III fractures in children.
Material & Methods: This cross-sectional study was conducted in children presented with type II and III supracondylar fracture in Orthopedic Department, Saidu Teaching Hospital Swat from November 2013 to April 2015. A total number of 114 children below 12 years of either gender who presented with type II and III fractures were included while those who had open fracture, compartment syndrome or associated neurovascular injuries were excluded. Fracture was closely reduced and percutaneous pinning was done under image intensifier. At 6 months follow-up, humero-ulnar angle and range of motions was compared to the opposite elbow. All the information was recorded in a proforma. Data was analyzed via SPSS (version 10).
Results: At the final follow-up, out of 114 patients undergoing percutaneous pinning of supracondylar fractures,
102 had normal humero-ulnar angle and full range of motion when compared to the opposite elbow. In the
remaining 12 patients, 8 had an average of 6° to 8° valgus change in humero-ulnar angle when compared to
the opposite elbow, while 4 patients had 2° to 4° valgus change. Average flexion deficiency was 5° and average extension lag was 3°. Functional results were satisfactory in up to 100% of patients. Cosmetic results were satisfactory in up to 92.98%.
Conclusion: The outcome of closed reduction and percutaneous pinning in supracondylar type II and III fractures in our study was excellent. It was due to proper reduction under image intensifier and adequate fixation with cross K wires.