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Percutaneous pinning in displaced supracondylar fracture of humerus in children
Muhammad Shoaib1, Shahid Sultan, Sohail Ahmed Sahibzada
1Orthopedics Department, Ayub Teaching Hospital, Abbottabad, Pakistan.
Insights
Percutaneous pinning is a safe and effective treatment for displaced supracondylar humerus fractures in children, yielding excellent outcomes and stability.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Supracondylar humerus fractures are common in children.
- Treatment options include casting, open reduction, and percutaneous pinning.
- This study evaluated percutaneous pinning for displaced fractures.
Purpose of the Study:
- To assess the outcomes of percutaneous pinning in pediatric supracondylar humerus fractures.
- To determine the effectiveness of this minimally invasive technique.
Main Methods:
- A study of 20 children (3-12 years) with Gartland type II & III displaced supracondylar humerus fractures.
- Treatment involved percutaneous pinning.
- Outcomes were assessed using Flynn criteria, evaluating elbow motion and carrying angle.
Main Results:
- The majority of fractures were extension-type (95%) and Gartland type III (70%).
- Excellent outcomes were achieved in 65% of patients, good in 20%, and poor in 15%.
- No significant complications were reported.
Conclusions:
- Percutaneous pinning is a safe, cost-effective, and time-saving procedure.
- It offers excellent skeletal stability and functional results in pediatric supracondylar humerus fractures.
Background:
Supracondylar fracture of humerus is the most common fracture in first decade of life. There are various treatment modalities for this fracture i.e closed reduction and casting, open reduction and internal fixation and percutaneous pinning. Study was conducted to know the outcome of Percutaneous Pinning in the management of displaced supracondylar fracture of humerus in children.
Methods:
This study was conducted at orthopedic unit of Khyber Teaching Hospital Peshawar from January 1996 to December 2000. Twenty children of 3-12 years age with displaced supracondylar fracture (Gartland type II & III) of humerus were included. Outcome measures were according to Flynn criteria i.e loss of elbow motion & carrying angle.
Results:
The children presenting were 14 male (70%) and 6 females (30%). The involved side was left in fifteen(75%) and right in five(25%) of patients. Nineteen patients (95%) had extension type & one patient (5%) had flexion type of fracture. Gartland type II were six (30%) & type III were fourteen (70%). Our result showed excellent outcome in thirteen (65%), good outcome in four (20 %) and poor outcome in three (15 %) patients.
Conclusion:
Percutaneous pinning is safe, cost effective, time saving and provides greater skeletal stability with excellent results.
