International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
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Evaluate Functional and Radiological Outcome of Displaced Supracondylar Fracture Type 2 and 3 in Children Treated with Lateral and Transolacranon Pinning
Shravan Singh Rajput, Sanjeev Kumar Gupta and Swapnil Baburao Bhalerao
Page: 167-172 | Received 11 Jul 2024, Published online: 20 Aug 2024
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Abstract
Supracondylar fractures of the humerus (SCFH) are a common and challenging pediatric injury, accounting for approximately 60% of all elbow fractures in children. Optimal management of displaced SCFH remains a topic of debate, particularly concerning the choice between lateral‐only pinning and cross pinning techniques. This study evaluates the functional and radiological outcomes of a modified surgical approach involving lateral and transolecranon pinning in pediatric patients with displaced SCFH. A prospective analysis was conducted on [230] pediatric patients, aged 4‐12 years, presenting with Gartland Type II and III SCFH. Following closed reduction under general anesthesia, percutaneous pinning was performed using a combination of lateral and transolecranon pins. Postoperative outcomes were assessed through Flynn’s criteria for functional results and radiographic analysis for fracture healing. The study demonstrated that the modified technique provided stable fixation, with all fractures achieving union by 3‐6 weeks duration. The mean duration of fracture union was [3.3] weeks. Functional outcomes were rated as excellent 24 patients (80%) and good 6 patients (20%) with minimal complications. The incidence of ulnar nerve palsy was zero, suggesting that this approach mitigates the risk of neurovascular injury commonly associated with cross pinning. In conclusion, the modified lateral and transolecranon pinning technique is a safe and effective method for managing displaced SCFH in children, offering a balance between stability and safety. These findings support the use of this technique, particularly in cases with high risk of complications associated with other methods. Further research through randomized controlled trials is recommended to validate these results.
How to cite this article:
Shravan Singh Rajput, Sanjeev Kumar Gupta and Swapnil Baburao Bhalerao. Evaluate Functional and Radiological Outcome of Displaced Supracondylar Fracture Type 2 and 3 in Children Treated with Lateral and Transolacranon Pinning.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.3.167.172
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.3.167.172