Affiliation:
1. Professor and Head of the Department, Department of Orthopaedics, Andhra Medical College,Visakhapatnam, A.P. India.
2. Junior Resident, Department of Orthopaedics, Andhra Medical College, Visakhapatnam, A.P. India.
Abstract
Introduction : Supracondylar humerus fractures are the most common elbow fractures seen in children. The peak age is
5 to 6 years .Gartland classified these fractures in to extension and flexion type with former being most common.
Extension injuries are further divided in to un displaced (type 1),partially displaced with intact posterior cortex(type
2),completely displaced (type 3).Type 2 and type 3 fractures requires intervention (closed reduction and pinning). In
this scenario, our study is designed to know the functional outcome of Criss cross pinning versus lateral pinning in
supracondylar humerus fractures
Aim :
1. To restore the anatomy of the distal end of the humerus with percutaneous Kirschner's wire fixation.
2. To evaluate the functional and cosmetic outcome of displaced supracondylar fractures of the humerus in children
treated with cross pinning and lateral pinning.
Materials And Methods : A prospective study with 30 cases of Gartland type 2 and type 3 supracondylar fracture
humerus, treated by lateral ( n=16 ) and criss cross ( n=14 ) pinning, was conducted between October 2018 to october
2020. The results were expressed as mean and standard deviation and p<0.05 was considered as statistically significant.
Results : In this study, among thirty patients, cross pinning was done in fourteen patients (46.67%), and lateral pinning
was done in sixteen patients (53.33%). All patients had satisfactory results according to Flynn's criteria.Conclusion :
There was no significant difference in cosmetic outcome, i.e. loss of carrying angle, and in functional outcome i.e.; loss of
flexion in degrees between crisscross Kirschner wire fixation and lateral Kirschner wire fixation in supracondylar
fractures of the humerus in children.
Subject
Industrial and Manufacturing Engineering,Mechanical Engineering,General Engineering,Mechanics of Materials,General Materials Science,Management of Technology and Innovation,Electrical and Electronic Engineering,Polymers and Plastics,Mechanical Engineering,Mechanics of Materials,General Materials Science,Industrial and Manufacturing Engineering,Mechanical Engineering,General Engineering,Mechanics of Materials,General Materials Science,Applied Mathematics,Computational Theory and Mathematics,Molecular Biology,Structural Biology,Literature and Literary Theory,Visual Arts and Performing Arts,Communication,Pharmacology (medical),Gastroenterology,Hepatology,Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics,General Arts and Humanities,Religious studies,Political Science and International Relations