DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20212433

Supracondylar humerus fracture in children: K wire pinning with minimal sterile technique

Girish H. R., Mahendranath ., Deepak Malik, Gowthama Pradhban N.

Abstract


A minimal sterile technique to assess the outcome of K wire pinning of Supracondylar fracture of humerus in children. A prospective case series between 2018 to 2020 was conducted on 10 supracondylar fracture of humerus operated at a tertiary care centre. Gartland type 2 and 3 were included and all the patients were treated with minimal sterile K-wire pinning technique. After 18 weeks follow up with mean age of 7.3 years, all patients were found to have excellent results. In our study no patients received antibiotic except in one patient where 5 days of oral antibiotic cefixime was given. Less complications, reduced time of surgery of average 24.3 minutes, reduction in cost factor and patient compliance was better. Supracondylar fracture of humerus can be fixed by K-wire fixation with minimal sterile technique either by cross pinning or lateral pinning which has same outcome as sterile technique and minimal sterile technique is cost effective and time sparing.


Keywords


Supracondylar humerus fracture, K-wire pinning, Minimal sterile technique, Outcomes

Full Text:

PDF

References


Skaggs DL, Flynn JM. Supracondylar Fractures of the Distal Humerus. In: John M Flynn, David L Skaggs, Peter M.Waters(eds).Rockwood And Wilkins Fractures in Children. 8th ed Philadelphia: Wolters Kluwer. 2014: 518-624.

Sawyer JR, Spence DD. Fractures And Dislocations in children. In: Azar FM, Beaty JH, Canale T (eds). Campbell’s operative orthopaedics. 13th ed. Philadelphia: Elsevier. 2017;1433-39.

Lee KM, Chung CY, Gwon DK, Sung KH, Kim TW, Choi IH et al. Medial and lateral crossed pinning versus lateral pinning for supracondylar fractures of the humerus in children: decision analysis. Journal of Pediatric Orthopaedics. 2012;32(2):131-8.

Kasser JR. Location of treatment of supracondylar fractures of the humerus in children. Clin Orthop Relat Res. 2005;434:110-3.

Mehlman CT, Strub WM, Roy DR. The effect of surgical timing on the perioperative complications of treatment of supracondylar humerus fractures in children. J Bone Joint Surg Am. 2001;83:323-7.

Gupta N, Kay RM, Leitch K. Effect of surgical delay on perioperative complications and need for open reduction in supracondylar humerus fractures in children. J Pediatr Orthop. 2004;24:245-8.

De las Heras J, Duran D, de la Cerda J. Supracondylar fractures of the humerus in children. Clin Orthop. 2005;432:57-64.

Herring JA. Upper extremity injuries. In: Herring JA, ed. Tachdjian’s Pediatric Orthopaedics. Philadelphia, PA: W.B. Saunders. 2002;2139-68.

Hamid R, Mostafavi MD, Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. Clin Orthop. 2000;376:56-61.

France J, Strong M. Deformity and function in supracondylar fractures of the humerus in children variously treated by closed reduction and splinting, traction, and percutaneous pinning. J Pediatr Orthop. 1992;12:494-8.