Functional and Radiological Outcome of Displaced Supracondylar Humerus Fracture in Children: A Prospective Observational Study

N. Rengarajan, M. Manoharan, F. Khan, Dhanasekaran Rajarajan
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Abstract

Ab s t r Ac t Introduction: Around 60% of all the elbow injuries in the first decade, supracondylar fractures of the humerus are the most widely recognized elbow injuries in youngsters. Accompanied with problems like compartment disorder, neurovascular harm, Volksman’s ischemic contracture, and malunion. The most widely recognized choice of pinning is either cross-pin fashion or two parallel pins. Closed reduction and percutaneous K-wire fixation are best with the least problems in contrast with different modalities. In our study, we want to assess the functional and radiological outcome of pediatric displaced supracondylar humerus fracture treated with closed reduction percutaneous K-wire fixation. Materials and methods: Sixteen patients were selected for the study based on the inclusion and exclusion criteria based on the consecutive sampling. For all patients, the standard technique of percutaneous k wire fixation was performed, and patients were evaluated on 6 weeks, 3 months, and 6 months with functional scoring by Flynn et al. Criteria and Mayo elbow scoring and radiological scoring with Baumann’s angle. Results: Ten children (62.5%) were affected in their first decade of life, with a clear male predilection than females. Mayo elbow scoring was 2.5, 6.0, and 3.75 at 6 weeks, 3 months, and 6 months. Pin-tract infection (4), two cases of malunion of our study population. In all 16 cases, the union was achieved with 14 cases satisfactorily excellent and satisfactorily good in 1 case and unsatisfactorily poor in 1 case. Conclusion: Closed reduction and percutaneous pinning are the treatment of choice for pediatric supracondylar humerus fractures with Modified Gartland’s type II and type III. Appropriate pinning technique ensures a successful outcome with cross configuration providing excellent outcome with good rotational stability. Closed reduction and percutaneous pinning is a safe, cost-effective, less morbid procedure.
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儿童肱骨髁上移位骨折的功能和放射学结果:一项前瞻性观察研究
引言:在头十年中,约60%的肘部损伤,肱骨髁上骨折是青少年中最广泛认识的肘部损伤。伴有筋膜室紊乱、神经血管损伤、Volksman缺血性挛缩和畸形愈合等问题。最广泛认可的别针选择是交叉别针或两个平行的别针。与其他方式相比,闭合复位和经皮k针固定效果最好,问题最少。在我们的研究中,我们想要评估儿童肱骨髁上移位骨折经闭合复位经皮k针固定治疗的功能和放射学结果。材料和方法:根据连续抽样的纳入和排除标准,选择16例患者进行研究。所有患者均采用标准的经皮k线固定技术,并在6周、3个月和6个月时对患者进行评估,由Flynn等人进行功能评分。标准及Mayo肘关节评分及鲍曼角放射学评分。结果:10名儿童(62.5%)在10岁前发病,男性明显多于女性。Mayo肘关节评分在6周、3个月和6个月时分别为2.5、6.0和3.75。针道感染(4),我们研究人群中2例畸形愈合。所有16例患者均获得良好愈合,其中优14例,良1例,差1例。结论:闭合复位加经皮钉钉是小儿肱骨髁上骨折改良Gartland II型和III型的首选治疗方法。适当的固定技术确保成功的结果与交叉配置提供良好的结果与良好的旋转稳定性。闭合复位和经皮钉钉是一种安全、经济、低发病率的手术。
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