196418

TRANSOLECRANON AND LATERAL KIRSCHNER WIRE FIXATION FOR DISPLACED SUPRACONDYLAR HUMERAL FRACTURE IN CHILDREN

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Surgery

Abstract

Background: Supracondylar fractures in children are common, accounting for 65% of all elbow fractures in children. In types II and III displaced supracondylar humeral fractures, closed reduction is difficult to achieve because of the thin bone between the coronoid and olecranon fossae as well as stripping of the periosteum. In addition, hyperflexion for maintenance of fracture reduction leads to swelling, compartment syndrome, and neurovascular compromise. Objective: To evaluate the clinical and radiological outcome after closed reduction and pinning using a Kirschner wire inserted vertically through the olecranon and another inserted laterally for displaced supracondylar humeral fractures. Patients and methods: A prospective case series, single Centre study conducted at Al-Azhar University Hospitals from June 2020 to May 2021. It included 20 patients with Gartland type III fracture who undergone for closed reduction and percutaneous pin fixation using two Kirschner wires, the first one was inserted vertically through the olecranon across the fracture into the metaphysis of the humerus and the second wire was inserted from the lateral column across the fracture at 30-40 degree to the opposite cortex of the humerus. Results: Operative time ranged from 15- 30 minutes with a mean of 19.25 minutes. We counted the operative time after induction of anesthesia (including draping, reduction, wires insertion and splint application). Results were within normal range for all patients. The mean Baumann angle in the patients was 70.57 degree, and standard deviation was 3.01. Postoperatively, anteroposterior and lateral views were done, and wires were removed by 3 weeks if clinical and radiological evidence of early bone union was present and, if not, wires removal was postponded one week later. Thirteen patients (65%) had the wires removed by 3rd week, and 7 patients (35%), the wires were removed by 4th week with a mean of 3.35 week, and standard deviation of 0.49. Few complications occurred and all were tolerable with no effect on final outcome, and these were pin tract infection in 2 patients and loss of reduction. Conclusion: Transolecranon and lateral Kirschner wires fixation was an effective option for displaced supracondylar humeral fractures in children.

DOI

10.21608/amj.2021.196418

Keywords

Transolecranon, Lateral K-wire fixation, displaced supracondylar humeral fracture

Authors

First Name

Abdul-Azim

Last Name

Ahmed Abdul-Azim

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

abdoeladawy365@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Abd El-Hamid Shamma

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Mosa Mohamed

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

50

Article Issue

4

Related Issue

27826

Issue Date

2021-10-01

Receive Date

2021-09-27

Publish Date

2021-10-01

Page Start

2,743

Page End

2,758

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_196418.html

Detail API

https://amj.journals.ekb.eg/service?article_code=196418

Order

35

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

TRANSOLECRANON AND LATERAL KIRSCHNER WIRE FIXATION FOR DISPLACED SUPRACONDYLAR HUMERAL FRACTURE IN CHILDREN

Details

Type

Article

Created At

22 Jan 2023