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Comparative study between functional outcome of closed and open percutaneous K-wire fixation in gartland type II and III extension type supracondylar humerus fractures in children

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Original Article

Author Details : Neelanagowda V.P. Patil, Anand Patil, Shankar H. Bellad, Rahul Uttamrao Kamble, Veereshpattan Shetty

Volume : 3, Issue : 1, Year : 2017

Article Page : 87-92

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Abstract

Background: Supracondylar fractures of humerus is one of the most common injuries in children. It requires great attention while treating as it is associated with neuro-vascular complications pre-operatively and intra-operatively. The aim of this study was to compare the functional outcomes of closed reduction and open reduction with cross-pinning percutaneous fixation in Gartland Type II and III supracondylar humeral fracture extension type.
Methods: In this prospective study, 120 children with type II and type III Gartland fracture extension type were treated with percutaneous k-wire fixation, between July 2009 to March 2016. 62 cases treated with closed reduction with cross pinning which formed group A and open reduction with cross pinning fixation were performed in 58 patients which formed group B.
Result: According to the Flynn’s criteria group A showed 96.8% of satisfactory results and group B showed 96.6% of satisfactory results. The duration of surgery in group A was on an average 20 minutes (16 to 24 minutes) and in group B was on an average 39 minutes (35-45 minutes). There were 6 cases (10.34%) of delayed wound healing in Group B which were due to the soft tissue edema. There was 1 case of ulnar nerve neuropraxia in group A. We did not come across any case of pin tract infection.
Conclusion: Supracondylar fractures in children are difficult to treat because of its associated complications in fracture reduction. Various studies are there with different methods of fixation done for this fracture, but there is no clear consensus regarding the ideal treatment. In our study with open versus closed pinning for supracondylar fracture, we found no significant difference in final functional outcome after the study.

How to cite : Patil N V, Patil A, Bellad S H, Kamble R U, Shetty V, Comparative study between functional outcome of closed and open percutaneous K-wire fixation in gartland type II and III extension type supracondylar humerus fractures in children. Indian J Orthop Surg 2017;3(1):87-92

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