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30111

Closed Reduction and Lateral Percutaneous Pin Fixation for Displaced Supracondylar Humerus Fractures in Children

Article

Last updated: 22 Jan 2023

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Abstract

Background: Lateral percutaneous pin fixation of Supracondylar humerus fracture (SCHF) is usually performed after accepted closed reduction. The aim of this study was to achieve fracture stability, maintained reduction and satisfactory results while minimizing the risk of iatrogenic ulnar nerve injury. Patients and methods: Twenty patients with extension Gartland type II and III SCHFs managed by closed reduction and lateral percutaneous pinning from December 2016 to December 2017 were enrolled in single center, prospective, observational, randomized controlled clinical trial. Postoperative immobilization was with an above elbow back splint and an arm sling. On days 1, 7, 14, and 21; obtained radiographs were evaluated. Results: according Flynn's criteria; all cases had satisfactory functional and cosmetic results. Only one case of a local infection was reported and treated with antibiotic therapy. Currently, all patients could perform daily activities. Discussion: lateral pinning technique had achieved fracture stability, maintenance of reduction and alignment, satisfactory functional and anatomical results in the form of a cosmetically accepted upper limb with normal range of movement while minimizing the risk of neurovascular complications as iatrogenic ulnar nerve injury in displaced SCHFs in children. Conclusion: With anatomic reduction and stable fixation, CRPP with lateral-entry K-wires fixation of pediatric SCHFs is similar to the conventional cross-wire fixation in terms of the stability, but superior in terms of ulnar nerve safety, hence giving excellent results. Level of evidence: V prospective randomized controlled study.

DOI

10.21608/zumj.2019.10859.1150

Keywords

Lateral Pinning, SCHF, Ulnar N injury

Authors

First Name

Mahmoud

Last Name

AboHasan

MiddleName

Ali

Affiliation

Orthopedic surgery, Zagazig University, Zagazig, Egypt

Email

dr.mahmod89@gmail.com

City

aga

Orcid

-

First Name

Khaled

Last Name

Idrees

MiddleName

-

Affiliation

Professor of Orthopedic Surgery Faculty of Medicine - Zagazig University

Email

drkhalidid@yahoo.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Fahmy

MiddleName

Hamid

Affiliation

Professor of Orthopedic Surgery Faculty of Medicine - Zagazig University

Email

mhamed375@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

sebaei

MiddleName

-

Affiliation

Orthopedic Surgery Department Faculty of Medicine; Zagazig University Zagazig, Egypt

Email

mohamedsebaei9@gmail.com

City

Zagazig

Orcid

-

Volume

26

Article Issue

2

Related Issue

11298

Issue Date

2020-03-01

Receive Date

2019-03-28

Publish Date

2020-03-01

Page Start

233

Page End

238

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_30111.html

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https://zumj.journals.ekb.eg/service?article_code=30111

Order

5

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023