Treatment outcome of gartland type III supracondylar fracture humerus in children with closed reduction and percutaneous pinning
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20162782Keywords:
Closed reduction, Supracondylar fracture, Children, Gartland and Modified Flynn’s criteriaAbstract
Background: 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.
Methods: Twenty five cases were treated with closed reduction and percutaneous pinning at Pushpagiri Medical College.
Results: 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.
Conclusions: 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.Metrics
References
Mostafavi HR. and Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. Clin Orthop, 2000;376:56-61.
Kasser JR, Beaty JH. Supracondylar fractures of the distal humerus. In Rockwood and Wilkins Fractures in children, 5th edition, Vol. 3, Philadelphia; Lippincott Williams and Wilkins; 2001:577-620.
Haddad RJ, Saer JK, Riordan DC. Percutaneous pinning of displaced supracondylar fractures of the elbow in children. Clin Orthop. 1970;71:112-7.
Pirone AM1, Graham HK, Krajbich JI. Management of displaced extension-type supracondylar fractures of the humerus in children. J Bone Joint Surg. 1988;70A;641-50
Canale TS ed. Fractures and dislocations in children. In Campbell's operative orthopaedics, 9th edition, Vol. 3. New York; Mosby;1998:2407-2422.
Flynn JC, Mathews JG, Benoit RL. Blind pinning of displaced supracondylar fractures of the humerus in children. J Bone Joint Surg. 1974;56A:263-72.
Wilkins KE. The operative management of supracondylar fracture. Ortho Clin North Am. 1990;21(2);269-89.
Boyd DW, Aronson DD. Supracondylar fractures of the humerus: a prospective study of percutaneous pinning. J Pediatr Orthop. 1992;12:789-94.
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