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Close reduction and percutaneous pinning in displaced supracondylar humerus fractures in children
1Clinical Associate Professor, Department of Orthopaedics, R D Gardi Medical College, Agar Road, Surasa, Ujjain 456006, Madhya Pradesh, India.
Insights
Closed reduction and percutaneous pinning effectively treats displaced pediatric humerus fractures. This method offers excellent or good outcomes in most cases, minimizing complications and residual deformity.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Supracondylar humerus fractures are common pediatric injuries.
- Improper reduction and stabilization can lead to neurovascular damage and deformities.
- Closed reduction and percutaneous pinning show promising results for these fractures.
Purpose of the Study:
- To evaluate the efficacy of closed reduction and percutaneous pinning for displaced supracondylar humerus fractures in children.
- To assess clinical outcomes using Flynn's criteria.
Main Methods:
- Study included 277 pediatric patients with Gartland grade II and III supracondylar humeral fractures (less than 1 week old).
- Treatment involved closed reduction and percutaneous pinning with crossed Kirschner wires under image intensifier guidance.
- Clinical outcomes were evaluated using Flynn's criteria.
Main Results:
- Mean patient age was 6 years, with an average follow-up of 4.6 years.
- Excellent outcomes were achieved in 202 cases, good in 68, fair in 5, and poor in 2.
- The procedure demonstrated a high success rate with satisfactory results.
Conclusions:
- Closed reduction and percutaneous pinning is a safe and effective treatment for displaced pediatric supracondylar humerus fractures.
- This technique leads to favorable clinical outcomes and minimizes the risk of complications.
Background:
Displaced supracondylar fractures of the humerus in children are common pediatric injuries treated by orthopedic surgeons. They also have a high rate of complications if not reduced and stabilized in optimal position which may lead to serious neurovascular injuries and residual deformity. Amongst the various methods used for treating these fractures, closed reduction and percutaneous pinning has shown improved results.
Method:
Between March 2005 and April 2010, 277 cases of supracondylar humeral fractures (Gartland grade II and III) with less then 1 week old were included in this study. They were treated with closed reduction and percutaneous pinning with crossed Kirschner wires under image intensifier control. Clinical outcome were assessed according to Flynn's criteria.
Results:
The mean age at the time of operation was 6 years (range 2-10 years) and the average duration of follow-up was 4.6 years (range 2.1-7.2 years). The Flynn's criteria were excellent in 202, good in 68, fair in 5 and only 2 with poor results.
Conclusion:
Closed reduction and percutaneous pinning is a sound and effective treatment for displaced supracondylar fractures.
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