Comparative study of functional outcome of displaced paediatric supracondylar humerus fracture fixed with two lateral or crossed percuteneous kirschner-wire after closed reduction
Keywords:Supracondylar humerus fracture, cross k wire fixation, lateral k wire fixation
Introduction: Supracondylar humerus fractures (SCH) are more common in the pediatric population than in the adult population. Children often utilize an outstretched arm as a protective mechanism when falling, creating a high incidence of fractures about the elbow. Supracondylar fractures of the humerus account for up to 18% of pediatric fractures overall, and up to 60% of elbow fractures. The modified Gartland classification is often used to describe fracture patterns and guide treatment. These injuries can be significant due to the risks of neurological damage, vascular injury, and compartment syndrome. Inadequate reduction and fixation can also lead to malunion and deformity. Some patients who develop a malunion but may have a satisfactory function in the long-term. Case series: In this study, we had studied the correlation of supracondylar fracture fixation, 30 cases with cross k wire fixation and 30 cases with 2 lateral k wire fixation . Our study concluded that Cross and lateral k wire pin fixation of Supracondylar fracture humerus result in similar construct stability and functional outcome. Conclusion: Our study concluded that Cross and lateral k wire pin fixation of Supracondylar humerus fracture (SCH) result in similar stability and functional Range of motion. Although ulnar nerve injury was 3.33% more likely in the crossed K-wire group, the overall incidence of this complication and other complications was very low.
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Copyright (c) 2021 Surendra Singh Yadav, Vikas Singhal, Vivek Dhakad, Tarun Naugraiya, Satyam Kumre
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