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Muhammad Saad Usmani¹, Zeeshan Faisal², Faisal Zulfiqar¹, Muhammad Khurram Zia³,  Syed Nusrat Ali Jafri⁴ and Alvia Saad⁵

ABSTRACT

Objective: To determine outcomes of two techniques; crossed k-wiring versus lateral k-wiring in supracondylar fractures in our setup.

Study Design: Descriptive study.

Place and Duration of Study: This study was conducted at the Hanif Hospital, Karachi for period of one year from March 2023 to March 2024.

Methods: The inclusion criteria involved patients presenting in emergency with supracondylar fractures of elbow in children age 5yrs-13yrs. Patients not included were the patients with only soft injury and debridement planned, patients with open fractures or patients with previous history of any other wound infection. The sample size was n=50 patients.

Results: Out of 50 patients analyzed the mean age of patients was 6.82 ±1.42yrs. There was n=28(56%) males and n= 22(54%) females. Mostly supracondylar fractures were Gartland type-2 and 3 in both groups A and B, all the patients nearly achieved radiological union and functional union with excellent results mostly according to flynn’s classification of functional outcome and radiological union. Only 1 patient presented with iatrogenic nerve injury in crossed wire technique and with almost superficial minor wound infections in two groups were managed with oral medications and wound care.

Conclusion: Supracondylar fractures are commonest fractures in children and can be managed with both techniques of cross k-wiring and lateral k-wiring with no statistical difference between two techniques and mostly with excellent outcomes and rare complications.

Key Words: Supracondylar, k-wiring, Supracondylar Fractures

Citation of article: Usmani MS, Faisal Z, Zulfiqar F, Zia MK, Jafri SNA, Saad A. Outcomes of Two Techniques; Crossed K-Wiring VS Lateral K-Wiring in Supracondylar Fractures. Med Forum 2024;35(5): 65-68. doi:10.60110/medforum.350514.