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ORIGINAL ARTICLE
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 78-83

Percutaneous lateral Kirschner wire fixation in pediatric supracondylar fractures of humerus


Department of Orthopedics, SMS and RI Sharda University, Greater Noida, Uttar Pradesh, India

Correspondence Address:
Ramji Lal Sahu
11284, Laj Building No. 1, Doriwalan, New Rohtak Road, Karol Bagh, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-7341.118749

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Aim: This prospective study was conducted to know the outcome of percutaneous lateral pinning in the management of displaced supracondylar fracture of humerus in children. Settings and Designs: Prospective study. Materials and Methods: Eighty five patients with displaced supracondylar fractures admitted between July 2005 and July 2010 were recruited into the study. All patients were operated under general anesthesia within 24 h after trauma using the percutaneous 2-lateral pin fixation (n = 85). Results were analyzed using Flynn's criteria. All patients were followed up to 6 months post-operatively. Results: Eighty five displaced supracondylar fractures of humerus, aged between 1½ year and 13 years, were treated using close reduction and percutaneous Kirschner (K) wire fixation under the c-arm image intensifier. Above elbow plaster of paris back slab was applied in all cases for at least 4 weeks. The slab and K-wires were removed after 4 weeks and elbow range of motion exercise was started. 68.23% had excellent, 29.40% good, 1.17% fair and 1.17% had poor results at 8 th weeks, which was improved to 91.75% excellent, 7.05% good, 1.17% fair and no poor result at final follow-up. There was no iatrogenic neurological injury either for the ulnar or for the radial nerves. Five patients developed superficial pin tract infection post-operatively and were treated conservatively with good healing and no long-term sequelae. Conclusion: Closed reduction and percutaneous lateral pinning proved an efficient, reliable, and safe method in the treatment of displaced supracondylar fractures of the humerus in children.


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