Fractures around the elbow are a great challenge to orthopaedic surgeons. It is almost exclusively a fracture of the immature skeleton, seen in children and young teenagers. ![]() Lateral pinning, Supracondylar fracture, Transolecranon pinning Abstractīackground: Supracondylar fracture (humerus) is type of extra-articular fracture occurring in the distal metaphyseal site of humerus. Conclusion: Although the outcomes of closed reduction showed no superiority over open reduction, it should be the preferred method of treatment due to its lower morbidity and shorter hospital stay.Department of Orthopaedics, MMIMSR, Mullana, Haryana, India According to Flynn's criteria the outcomes of the open and closed reduction groups were not statistically significant (p = 0.273, Table 4). Four patients had pin tract infection, with poor result. In CRPP group (total24 patients), 83.3% had satisfactory results (excellent-12 patients, good-6 patients and fair-2 patients). Based onFlynns criteria(Table 1),36 patients of ORIF group gave satisfactory result in 94.4% of the cases (excellent in 16 patients, good in 12 patients and fair in 6 patients), only two patients withsuture line infection, had poor result. Results: This study reveals that thecosmetic and functional outcomes werealmost similar between the two groups. Closed reduction and percutaneous pinning was done in 24patients (16 male and 8 female patients, who attended OPD or ER within the 2 nd day of injury). Open reduction and internal fixation was done in 36 patients (24 male and 12 female patients, who attended OPD or ER after 2 nd day of injury). Materials And Methods: The aim of this study was to evaluate the outcomes of two different treatment options (primarily closed reduction and percutaneous pinning versus primarily open reduction with pinning) for type III fractures.A prospective study of 60 patients is mentioned here. Conclusion: Radiological alignment had a significant positive correlation with functional outcome after surgery in displaced SCH patients.īackground: Supracondylar fracture of the humerus is the second most common fracture in children.These fractures are classified, according to Gartland's criteria, as nondisplaced fractures (type I), partially displaced fractures with the posterior cortex intact (type II) and completely displaced fractures (type III).Even though the treatment guidelines for type I and II fractures have been well established, controversies still persist for the treatment of type III fractures.Many modalities have been recommended for the treatment of type III fractures including closed reduction and cast immobilisation, traction by various methods and reduction via closed or open means and fixation by Kirschner (K) wires. There was a significant positive Pearson correlation (r ¼ 0.491) between radiological alignment and functional outcome (p value ¼ 0.006). The mean of Baumann's angle and functional outcome were 73.5 ± 7.18 and 6.44 ± 4.7 degrees, respectively. ![]() Left side and non-dominant arm were more commonly injured with percentage of 63.3% and 70%. The mean age was 6.4 ± 2.0 years with peak incidence 5e6 years. Results: Of the thirty samples enrolled in this study, 63.3% were boys. Data were analyzed using the Pearson Correlation test. ![]() The parameter of radiological alignment used in this study was Baumann's angle and the functional outcome based on Flynn's criteria. The data included in this study were at six weeks after removal of implant. Medical records of children with displaced SCH fracture from January 2016 to December 2018 were taken for the study. Study design was cross sectional with analytical approach. Methods: This study aims to analyze the correlation between radiological alignment and functional outcome in displaced SCH fracture in children under internal fixation. The outcome of SCH fracture in pediatric population can be assessed clinically and radiologically. Treatment of displaced SCH fracture are surgery using Kirschner wire. Introduction: Supracondylar humerus (SCH) fracture is the most common type of elbow joint fracture (50 e70%) in children aged 3e10 years.
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