Minimally Invasive-Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of the Humerus in Children

Authors

  • Nabees Man Singh Pradhan Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Rojan Tamrakar Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Bidur Gyawali Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Toya Raj Bhatta Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Balakrishnan M. Acharya Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Suman Shrestha Department of Orthopedics, Patan Academy of health Sciences, Laliptur
  • Saroj Krishna Shrestha Om Hospital and Research Center, Chabhill, Kathmandu
  • Achyut Rajbhandari Om Hospital and Research Center, Chabhill, Kathmandu
  • Utsab Shrestha Department of Orthopedics, Patan Academy of health Sciences, Laliptur

DOI:

https://doi.org/10.3126/jpahs.v1i2.16639

Keywords:

cubitus varus deformity, K wire fixation, minimally invasive closed reduction and precutaneous pinning, supracondylar fractures

Abstract

Introductions: Although Closed Reduction and Percutaneous Pinning is the gold standard of treatment for Supracondylar fractures (SC) in children, reduction is not always easy. Minimally Invasive, Closed Reduction and Percutaneous Pinning (MI-CRPP) reduces the soft tissue trauma and provides easy reduction. We have reviewed the success rate of minimally invasive reduction technique and its outcome.

Methods: We reviewed the charts of 155 children (97 male, 58 female) age ranging from 2 to 14 years with SC fractures of the humerus who were operated with minimally invasive closed reduction and precutaneous pinning from November 2008 to June 2014 at Patan Hospital and Om Hospital. They were followed up for a mean of eight (4 to 24) weeks. The K-wires were removed at 4 to 6 (average 4.28) weeks.

Results: Male children were affected more than female with the ratio being 97 to 58. Right side was affected more than left (ratio 89 to 66). Post-operatively, there were six (3.87%) ulnar nerve injury and eight (5.16%) patients came with superficial pin tract infection. One hundred and thirteen (72.9%) had excellent, 35 (22.58%) good, five (3.23%) fair and two (1.3%) poor results at the eight week follow-up which was improved to 144 (92.9%) excellent, seven (4.5%) good, three (1.9%) fair and one (0.65%) poor results at the 14 week follow-up.

Conclusions: Closed reduction of supracondylar fractures of the humerus in children with minimally invasive technique prior to K-wire fixation is a relatively simple, safe and effective method of achieving satisfactory reduction and good functional outcome.

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Published

2015-12-01

How to Cite

Pradhan, N. M. S., Tamrakar, R., Gyawali, B., Bhatta, T. R., Acharya, B. M., Shrestha, S., Shrestha, S. K., Rajbhandari, A., & Shrestha, U. (2015). Minimally Invasive-Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of the Humerus in Children. Journal of Patan Academy of Health Sciences, 1(2), 15–18. https://doi.org/10.3126/jpahs.v1i2.16639

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Section

General Section: Original Articles