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137159

Lateral Divergent Pinning Versus Lateral Parallel Pinning in Management of Supracondylar Fractures of the Humerus in Children

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Last updated: 23 Jan 2023

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Abstract

Supracondylar humerus fracture in children is a very common elbow injury. The commonly accepted treatment of type II and III supracondylar fractures of humerus in children is closed reduction with percutaneous pinning. Lateral pinning has an advantage of avoiding the possibility of iatrogenic ulnar nerve injury. This study was conducted to compare the stability of lateral divergent pinning and lateral parallel pinning in treatment of type II and type III supracondylar humerus. A prospective, randomized, single Centre, study was conducted at the Emergency Department of Benha university hospitals from March 2019 to November 2019. Thirty children with supracondylar humerus fracture Gartland type IIB and type III were treated with two techniques: lateral divergent (15 patients), and lateral parallel (15 patients). All of them were included for the study and analysis of results regarding functional outcome and graded according to Flynn`s criteria and Baumann's angleThirty children were treated for displaced supracondylar fracture of humerus during the study period, 9 females and 21 males, and mean age was 5.1 years. The mean duration from admission to surgery was 17.3 hours, The mean follow-up duration was 3 months. In lateral divergent pinning group, 14 patients with excellent result and one good. In lateral parallel pinning technique 13 patients with excellent and 2 good. There was no statistically significant difference with regard to functional outcome between the two groups. Both methods produced satisfactory results in all cases.

DOI

10.21608/bjas.2020.137159

Keywords

Supracondylar fracture humerus, divergent, Parallel, Lateral, Kirschner wires

Authors

First Name

M.O.

Last Name

Hegazy

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Affiliation

Orthopaedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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First Name

M.A.

Last Name

Meselhy

MiddleName

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Affiliation

Orthopaedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

A.A.

Last Name

EL-Nabasy

MiddleName

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Affiliation

Orthopaedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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Volume

5

Article Issue

Issue 6 part (2)

Related Issue

20332

Issue Date

2020-09-01

Receive Date

2020-01-08

Publish Date

2020-09-01

Page Start

181

Page End

186

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_137159.html

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https://bjas.journals.ekb.eg/service?article_code=137159

Order

4

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

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Article

Created At

23 Jan 2023