Does two parallel lateral-only pin configuration provide stable osteosynthesis for pediatric supracondylar humerus fractures? Çocuk suprakondi̇ler humerus kiriklarinda lateral perkütan i̇ki̇ paralel K-teli̇ i̇le osteosentez yeterli̇ mi̇?
Nobel Medicus, cilt.7, sa.3, ss.36-40, 2011 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 3
- Basım Tarihi: 2011
- Dergi Adı: Nobel Medicus
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.36-40
- Anahtar Kelimeler: Child, Elbow injuries, Fracture fixation, Percutan pinning
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To evaluate clinical and radiographic outcome of closed reduction and percutaneous pinning of pediatric supracondylar humerus fractures using lateral two parallel pinning versus lateral two parallel with one medial pinning technique. Material and Method: We treated 161(125 male, 36 female) pediatric supracondylar humerus fractures with closed reduction and percutaneous pinning. Mean age was 7.39 years (1-14 years). 88% of all were extension type fracture and 97 cases were left-sided. Gartland type 2 to 3 ratio was 22/139. All fractures underwent closed reduction and percutaneous lateral two-parallel pinning, an additional medial pin was randomly performed in 62 cases. After 3-week-immobilization with long arm splint, range of motion exercises were started one week before K-wire removal at 28th day, postoperatively. Carrying and Baumann's angles were measured on direct views. Clinically, presence of elbow stiffness, myositis ossificans, peripheral nerve injury, vascular injury, malunion and Volkmann's ischemic contracture was noted. Results were evaluated according to Flynn criteria. Mean follow up was 58.9 months (12-119). Results: All fractures were healed with no complication except cubitus varus deformity in 3 cases of lateral-only pin group. Mean Baumann's angle was 14.91 (6-25) degrees. According to Flynn criteria, functional and cosmetic results were 100% and 98% satisfactory, respectively. The complication rates were compared with Fisher's Exact Test. No statistical significance was noted between groups (p=0,285). Discussion: It is concluded that closed reduction and percutaneous two parallel lateral-only pin provides sufficient osteosynthesis for pediatric supracondylar humerus fractures. Besides, after reviewing the literature, it has been noted that additional medial pinning may increase complication rates.