23.Functional and Radiological Outcome of Closed Reduction and Percutaneouse Pinning in Supracondylar Fractures Humerus Gartland Type III
Muhammad Aslam Mengal1, Mohammad Tariq Hasani2, Khawand Bakhsh Umrani2, Parvez Ahmed3, Nasir Khan Achakzai2 and Suresh Kumar Valbani4
ABSTRACT
Objective: This study is aimed to determine the functional and radiological outcome of close reduction fixation with percutaneous pinning in Gartland type III Supracondylar humerus fractures and thereby to strategize fracture plan for a fracture which is commonly mismanaged.
Study Design: Study design was descriptive case series
Place and Duration of Study: This study was conducted at the Department of Orthopedic Surgery, Bolan Medical Complex Hospital, Quetta from 15th January 2018 to 15th January 2019.
Materials and Methods: 61 patients age of 2 years to 12 years with Gartland type III Supracondylar humerus fractures were treated with close reduction and percutaneous pinning, carrying angle and range of motion were measure and results were graded as per Flynn criteria and fracture reduction and healing were assessed Radiologically with consolidation of fracture. The radiological assessment was making with the Baumann's angle; all results were compared with normal limb.
Results: At six months follow up, 48 patients (78.7%), patient had excellent results 10 patients (16.3%) good, Fair in 2 patients (3.3%) and Poor in one (1.6%) on patient Flynn criteria. Mean Baumann's angle, was 640 to 810 in 58 (95.1%) patients and < 640 in three (4.9%) patients.
Conclusion: Closed reduction and percutaneous K-wire fixation has been stand the best option of treatment for supracondylar fractures of the humerus in children. It is safe, cost effective, and easy to perform in terms of no open surgery and use of c-arm, no use of suture material and short hospital stay. It gives comparative better results than open reduction. However, it needs expertise to develop for meticulous close reduction and proper placement of percuteneous pins, which is the mainstay of outcome.
Key Words: Supracondylar, Fracture Humerus, percuteneous pinning, close reduction.
Citation of article: Mengal MA, Hasani MT, Umrani KB, Ahmed P, Achakzai NK, Valbani SK. Functional and Radiological Outcome of Closed Reduction and Percutaneouse Pinning In Supracondylar Fractures Humerus Gartland Type III. Med Forum 2022;33(10):100-104.