Comparative study between functional outcome of closed and open percutaneous K-wire fixation in gartland type II and III extension type supracondylar humerus fractures in children
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Supracondylar fractures of humerus is one of the most common injuries in children. It requires great attention while treating as it is associated with neuro-vascular complications pre-operatively and intra-operatively. The aim of this study was to compare the functional outcomes of closed reduction and open reduction with cross-pinning percutaneous fixation in Gartland Type II and III supracondylar humeral fracture extension type. Methods: In this prospective study, 120 children with type II and type III Gartland fracture extension type were treated with percutaneous k-wire fixation, between July 2009 to March 2016. 62 cases treated with closed reduction with cross pinning which formed group A and open reduction with cross pinning fixation were performed in 58 patients which formed group B. Result: According to the Flynn’s criteria group A showed 96.8% of satisfactory results and group B showed 96.6% of satisfactory results. The duration of surgery in group A was on an average 20 minutes (16 to 24 minutes) and in group B was on an average 39 minutes (35-45 minutes). There were 6 cases (10.34%) of delayed wound healing in Group B which were due to the soft tissue edema. There was 1 case of ulnar nerve neuropraxia in group A. We did not come across any case of pin tract infection. Conclusion: Supracondylar fractures in children are difficult to treat because of its associated complications in fracture reduction. Various studies are there with different methods of fixation done for this fracture, but there is no clear consensus regarding the ideal treatment. In our study with open versus closed pinning for supracondylar fracture, we found no significant difference in final functional outcome after the study.
Authors and Affiliations
Neelanagowda V. P Patil, Anand Patil, Shankar H Bellad, Rahul Uttamrao Kamble, Veereshpattan Shetty
Evaluation of Outcome of Proximal Tibia Fractures managed with MIPPO
Background: The concept of minimally invasive Osteosynthesis using percuatneous plate was established when it is realized that the length and alignment of proximal tibia can be restored with indirect manipulation and red...
Minimally Invasive Plate Osteosynthesis: A Review
Present-day concepts of osteosynthesis emphasize upon biological healing of fractures. This has led to advent of minimally invasive plate osteosynthesis. This technique if used when indicated leads to numerous advantages...
Percutaneous transforaminal lumbar endoscopic discectomy: An appropriate outpatient procedure for lumbar disc pathologies in a high output tertiary care centre
Introduction A very common problem that we come across is that of lower backache in middle aged and elderly in which disc prolapse is far more prevalent in the population than realised However radicular steps like spine...
Fracture of the femoral shaft in children associated with bone overgrowth
Forty children were treated with conservative nonoperative management for femoral shaft fractures These children were reviewed with regard to the differences that were observed in the limb length after treatment The aver...
“A study of management of intra-articular fractures of distal end radius by external fixator”
A fracture of the distal radius is one of the commonest skeletal injuries treated by the orthopaedic surgeon. Thirty to forty years ago the distal radial fractures were considered benign and conservative treatment was th...