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
Keywords
Related Articles
- EP ID EP293290
- DOI 10.18231/2395-1362.2017.0018
- Views 121
- Downloads 0
Incidence of deep Vein Thrombosis in elderly fracture neck of femur patients with prophylactic anticoagulation
Introduction: Vein Thrombosis is a major national health problem that takes a significant toll of lives and creates major disabilities. Objective: Incidence of Deep Vein Thrombosis in elderly fracture neck of femur patie...
“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...
Percutaneous release of trigger finger: An easy and safe procedure
Introduction Trigger finger is caused by irritation of the flexor tendon as it slides through the fibroosseous sheath Its surgical options include open and percutaneous minimally invasive methodsAim This study is aimed a...
Evaluation of risk factors of anterior cruciate ligament (ACL) Injury: A prospective comparative analysis
Introduction Anterior Cruciate Ligament ACL is the most frequently injured knee ligament Combination of valgus force with internal rotation is the most common mechanism involved in ACL injury Both modifiable and nonmodif...
Role of platelet rich plasma in patients of osteoarthritis knee-a prospective study
Introduction: In the present study, we evaluated the effects of 2 courses of PRP injections with 3 weeks interval, on patient's quality of life and functional ability. Materials and Method: It was a prospective study car...