scholarly journals Treatment outcome of gartland type III supracondylar fracture humerus in children with closed reduction and percutaneous pinning

2016 ◽  
Vol 2 (3) ◽  
pp. 95
Author(s):  
P. Thomas George ◽  
Mithun Joy Kattoor ◽  
Samson Samuel Edayalamuriyil
Keyword(s):  
Closed Reduction ◽  
Recovery Period ◽  
Varus Deformity ◽  
Functional Results ◽  
Supracondylar Fracture ◽  
Percutaneous Pinning ◽  
Type Iii ◽  
Medical College ◽  
Pin Tract Infection ◽  
Fracture Humerus

<p class="abstract"><strong>Background:</strong> Treatment of Gartland’s type III supracondylar fracture of humerus in children is one of the most challenging one. Conservative management usually results in deformity. On the other hand open reduction and internal fixation is a more invasive surgical method with a long recovery period. Thus, this study presents cases treated by closed reduction and percutaneous pinning and discussed its anatomical results, functional results and lastly its complications.</p><p class="abstract"><strong>Methods:</strong> Twenty five cases were treated with closed reduction and percutaneous pinning at Pushpagiri Medical College.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of the 25 patients studied, 24 (96%) had satisfactory results according to Modified Flynn’s criteria and there was only one case of superficial pin tract infection with no cases of cubitus varus deformity.</p><strong>Conclusions:</strong> This study presents that closed reduction and percutaneous pinning is a very good modality of treatment of Gartland type III fractures of humerus in children with very few complications.

scholarly journals Comparison of outcome of closed reduction and percutaneous pinning and, open reduction and internal fixation with k-wire in Gartland extension type III supracondylar fracture of distal humerus in pediatric population

2018 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Bhogendra Bahadur KC ◽  
Norman Lamichhane ◽  
Chandra Bahadur Mishra ◽  
Bharat Bahadur Khatri ◽  
Sabita Dhakal
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Open Reduction ◽  
Operative Procedure ◽  
Distal Humerus ◽  
Supracondylar Fracture ◽  
P Value ◽  
Percutaneous Pinning ◽  
Type Iii

Background: Supracondylar fracture of the distal humerus is one of the commonest fracture in pediatric age group. Though there is consensus of treating type III fracture operatively, no study has compared the outcome between Closed Reduction and Percutaneous Pinning (CRPP) and Open Reduction and Internal Fixation (ORIF) with k-wire in our setup. Materials and Methods: Retrospective comparison study was done on eighty seven cases of Type III supracondylar fracture of distal humerus underwent operative procedure. Fifty four (54) cases underwent CRPP and 33 cases were managed with ORIF with k-wire, and they were followed up till 6 months post-operatively. Results : The mean time for radiological union in patient who underwent CRPP was 4.37±0.94 weeks and that for the patient who underwent ORIF was 4.45±0.13 weeks, the difference of which was statistically insignificant (p-value >0.05). 83.3% of CRPP group and 78.8% in ORIF group had excellent functional outcome and only 3% in ORIF group had poor functional outcome. Conclusion: Though both the group don’t have significant advantage of functional outcome among each other CRPP with limited attempt should be preferred to ORIF with k-wire for the advantage of avoiding surgical scar and reducing surgery time and exposure to anaesthetic agents.

scholarly journals Surgical Management of Supracondylar Fractures of the Humerus in Children by Closed Reduction and Percutaneous Pinning with Kirschnner Wires-A Cross-sectional Study

2021 ◽  
Author(s):  
Chavan Pramod Babu ◽  
K Shankara ◽  
T Lakshmeesha
Keyword(s):  
Closed Reduction ◽  
Statistical Tests ◽  
Excellent Result ◽  
Cross Sectional Study ◽  
Supracondylar Fracture ◽  
Percutaneous Pinning ◽  
Sectional Study ◽  
Supracondylar Fractures ◽  
Cross Sectional ◽  
Type Iii

Introduction: Supracondylar Humerus Fracture (SCHF) is frequently encountered in paediatric age group and constitutes nearly three fourth of all upper extremity fractures. Most commonly used technique for surgical treatment in the displaced SCHF in children is closed reduction and stabilisation with percutaneous pins. Aim: To find out the outcome and safety of percutaneous pinning techniques in terms of functional and radiological outcome and to note the associated complications with this method of fixation. Materials and Methods: This was a cross-sectional study, conducted on patients admitted to Department of Orthopaedics, Hassan Institute of Medical Sciences, Hassan, between January 2017 to December 2019. Thirty paediatric cases were retrospectively reviewed. These were admitted with a supracondylar fracture and had reported to the hospital over a three-year period. All fractures were treated with closed reduction and fixation with percutaneus K-wire followed by immobilisation in above elbow slab for three weeks. K-wires were removed at three weeks and mobilisation with physiotherapy was advised. Outcome was measured by Flynn’s Criteria. The results were analyzed as per appropriate descriptive statistical tests. Results: The mean age of the patients was 7.4 years (range 3-15years). Males outnumbered females. Total 22 (73.3%) patients had left-sided fracture and 8 (26.6%) had fracture on right side. Fracture union was seen in all the patients at a mean interval of 4.2 weeks (range 3-5 weeks), in a follow up of 12 weeks. Most (90%) of the injuries were the result of trauma, including fall. 70% of the fractures were Gartland Type III supracondylar fracture. Cross K- wire fixation was done in 21 patients and lateral-only pin in 9 patients. Among the 21 patients, who had type III fracture, 4 of them were fixed with 2 Lateral K- wire pinning and 17 of them with crossed K-wire pinning configuration. The commonest post-operative complication observed was a superficial pin tract infection, seen in 4 (13.3%) patients. Outcome according to the Flynn’s criteria 25 patients (83.3%) had excellent result, 3 (10%) patients had good result, 1 (3.3%) had fair result and 1 (3.3%) patient had poor functional result. Conclusion: The present study concludes that close reduction and percutaneous k-wire pinning techniques give a favorable outcome in displaced supracondylar fractures of the humerus in children, without any serious complications.

scholarly journals Supracondylar fracture humerus (Gartland Type III) managed with closed reduction and percutaneous pinning (CRPP) in children.

2020 ◽  
Vol 27 (06) ◽  
pp. 1092-1096
Author(s):  
Masroor Ahmed ◽  
Badaruddin Sahito ◽  
Rukhsana Hamid ◽  
Nida ◽  
Mukesh Kumar ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Humeral Fracture ◽  
Functional Results ◽  
Treatment Method ◽  
Clinical Results ◽  
Percutaneous Pinning ◽  
Supracondylar Humeral Fracture ◽  
Type Iii ◽  
Fractures In Children ◽  
Supracondylar Humerus Fractures

Objectives: The objective of this study is to assess the functional outcome of close reduction and percutaneous K- wire fixation in supracondylar humeral fracture (SCHF) Gartland type III fractures in children. Study Design: Experimental study. Period: January 2017 to December 2017. Setting: Department of Orthopedics Civil Hospital Karachi. Material & methods: 60 children sustaining a Gartland type III supracondylar humerus fractures less than 1 week old that was treated by closed reduction and percutaneous pinning. Clinical results were evaluated using the Flynn’s criteria. Results: All the 60 children with Gartland type III supracondylar humerus fracture included in this study. 42 (70%) boys and 18 (30%) girls with age ranging between 2 to 10 years .Right side was involved in 37(62%) and left side was involved in 23 (38%) patients. All patients are of extension type fracture. According to Flynn’s criteria cosmetic results were excellent in 54 (90%) and good in 6 (10%) patients and functional results were excellent in 54 (90%), good in 4(7%), fair in 2 (2%) and poor in 1(1%) patient. One patient ulnar nerve injury, after 3 months nerve explored that was contused, symptoms resolved afterwards. Conclusion: Close reduction and percutaneous fixation with K-wire in Gartland III fracture in children is safe and effective treatment method with minimal hospital stay and less complications.

Supracondylar Fracture of Humerus in Children Treated with Closed Reduction and Percutaneous Cross Pinning VS Lateral Pinning

2021 ◽  
Vol 15 (5) ◽  
pp. 1190-1192
Author(s):  
M. S. Zardad ◽  
S. A. Shah ◽  
M. Younas ◽  
M. Ullah ◽  
I. Muhammad ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Traffic Accidents ◽  
Functional Results ◽  
Supracondylar Fracture ◽  
Medical College ◽  
Group I ◽  
Supracondylar Humerus Fractures ◽  
Group Ii ◽  
Mean Time ◽  
Radiation Time

Objective: The aim of this study is to determine the outcomes between percutaneous cross pinning vs two lateral pinning in treatment of closed reduction supracondylar fracture of humerus in children. Study Design: Prospective study Place and Duration: Study was conducted in Orthopaedic Unit Ayub Medical Teaching Institute Abbottabad and DHQ Teaching Hospital Gomal Medical College Dera Ismail Khan during from October 2019 to May 2020 (09 months duration). Methods: Total 60 patients of both genders were presented in this study. Baseline demographically details of patients age, sex and body mass index were recorded after taking consent. Patients were aged between 2-14 years were included. Children who had supracondylar humerus fractures were enrolled and divided equally into 2-groups. Group I had 30 patients and received percutaneous cross pinning technique and group II had 35 patients underwent for lateral pinning. Radiological and functional results were assessed by Flynn’s criteria among both groups, frequency of complications was also observed. Complete date was analyzed by SPSS 22.0 version. Results: Total 36 (60%) were males (18 in each group) and 24 (40%) were females (12 in each group. Mean age of the patients in group I was 6.14±3.12 years and in group II mean age was 5.66±5.28 years. Sports 45 (75%) was the most common cause of fracture followed by traffic accidents 10 (16.67%) and the rest were 5 (8.33%) fall from the height. Mean surgical time in group I was 31.24±2.16 minutes while in group II mean time was 33.42±1.61 minutes. Mean radiation time in group I was 2.01±1.1 sec and in group II radiation time was 1.34±1.1 sec. According flynn’s criteria excellent results were found in 20 (66.7%) cases, good results in 8 (26.7%) and fair results found in 2 (6.7%) while in group II excellent results were found in 19 (63.33%), good results in 9 (30%) and fair results in 2 (6.7%). Significantly no any difference in outcomes was observed among both groups. Conclusion: We concluded in this study that the both techniques are safe and effective for the treatment of closed reduction supracondylar fracture of humerus in children but less operative and high radiation time was observed in percutaneous cross pinning as compared to two lateral pinning. Keywords: Percutaneous cross pinning, Two lateral pinning, Supracondylar humerus fracture, Children

scholarly journals Treatment of Paediatric Supra Condylar Fracture Humerus

2020 ◽  
Vol 15 (2) ◽  
pp. 171-174
Author(s):  
Md Maksudul Haque ◽  
Masud Ahmed ◽  
Md Enamul Haque ◽  
Md Ali Faisal ◽  
Mohammad Saiful Islam ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Fracture Pattern ◽  
Supracondylar Fracture ◽  
Type I ◽  
Cast Immobilization ◽  
Elbow Fractures ◽  
Closed Fractures ◽  
Pin Tract Infection ◽  
Fracture Humerus ◽  
Fractures In Childhood

Introduction: One of the most frequent elbow fractures in childhood, is supracondylar fracture whichrequires rapid diagnosis and treatment. It is usually associated with neurovascular, functional problems and deformity. Objectives: To assess demographic, clinical features and treatment outcomes of the patients who underwent closed reduction and splinting, stabilization by percutaneous pinning or Open Reduction and Internal Fixation(ORIF). Materials and Methods: This retrospective study was conducted in the department of orthopedic surgery, CMH, Bogura from June 2017 to December 2018. The inclusion criteria was Gartland type I,II,III fracture who attended in emergency and casualty, between 2 to 13 years of age. Total 40 patients with the mean age 7.5 years were included in the study group. Results: All were closed fractures, 2flexion and 38 extension type. Two (5%) Gartland type I, 24(60%) and 14(35%) had type II and III fracture respectively. 2(5%) were treated by cast immobilization,8(20%)of type llby closed reduction & splinting, 22(55%) and 8(20%) of type ll&lll by crossed k-wire or by ORIF respectively. According to Flynn’s criteria our study shows 33(82.5%) excellent, 4(10%) good, 2(5%) fair and 1(2.5%) poor outcome.4(10%) had ulnar nerve neuropraxia, 1(2.5%) elbow stiffness,1(2.5%) cubitusvarus, 2(5%) experienced superficial pin tract infection. Conclusion: Management of supracondylar fracture should be decided according to patient’s age, fracture pattern and deformity status. Closed reduction and stabilization by percutaneous wiring provides an effective and safe treatment, when failed, open fractures or associated neurovascular complications ORIF should be preferred. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 171-174

scholarly journals Treatment of supra condylar fractures of humerus in children, a SKIMS medical college study

2020 ◽  
Vol 6 (5) ◽  
pp. 996
Author(s):  
Jawed Ahmed Bhat ◽  
Arshad H. Wani ◽  
Abid Din ◽  
Reyaz Dar ◽  
Naseer Ah Mir
Keyword(s):  
Closed Reduction ◽  
Varus Deformity ◽  
Functional Results ◽  
Developed Countries ◽  
Delayed Presentation ◽  
Supracondylar Fractures ◽  
Medical College ◽  
Condylar Fractures ◽  
Lost To Follow Up

<p class="abstract"><strong>Background:</strong> Supracondylar fractures of the humerus account for sixty percent of all fractures around the elbow in children. Delayed presentation of these fractures is very common even in developed countries. The aim of the present study was to evaluate the clinical, radiological and functional results following closed reduction (C/R) and percutaneous pinning of widely displaced supracondylar fractures of humerus. An objective of this study was to study supracondylar fractures of humerus in children in Skims medical College.</p><p class="abstract"><strong>Methods:</strong> A total 86 patients with displaced extension type supracondylar fractures (gartland type III) of humerus were managed by closed reduction and percutaneous fixation at Skims medical college after achieving optimal and satisfactory reduction. There were 52 boys and 28 girls. Average age was 6.69 years (range 2-12).<strong></strong></p><p class="abstract"><strong>Results:</strong> A total 86 patients were successfully treated with C/R and cross pinning. 6 patients were lost to follow-up. 80 patients with a minimum follow-up period of 12 months formed the basis of this study.</p><p class="abstract"><strong>Conclusions:</strong> C/R and pinning is effective method despite delayed presentation. Strict anatomical reduction and stable fixation minimises the risk of developing cubitus varus deformity.</p>

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