Lateral versus crossed K wire fixation for displaced supracondylar fracture humerus in children: Our experience

被引:0
作者
Faizan, Mohd [1 ,2 ]
Shaan, Ziaul Hoda [1 ,2 ]
Jilani, Latif Z. [1 ,2 ]
Ahmad, Sohail [1 ,2 ]
Asif, Naiyer [1 ,2 ]
Abbas, Mazhar [1 ,2 ]
机构
[1] JN Med Coll, Dept Orthopaed Surg, Aligarh, Uttar Pradesh, India
[2] AMU, Dept Orthopaed Surg, JN Med Coll, Aligarh 202002, Uttar Pradesh, India
来源
ACTA ORTHOPAEDICA BELGICA | 2020年 / 86卷 / S 1期
关键词
Supcondylar fracture humerus; children; fixation method; lateral versus Cross K wiring; ENTRY PIN FIXATION; ULNAR NERVE INJURY; INSTABILITY; MANAGEMENT; ELBOW;
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Lateral entry and crossed Kirschner (K) wire fixation configuration for treating displaced suprcondylar humerus fracture in children has always been shrouded in controversy as to which is superior. As the closed K wire fixation is the standard of treatment for these fractures, we performed a prospective study comparing the two methods. A prospective study comparing any reduction loss between the two groups was undertaken. Major end points documented were loss of fracture reduction and ulnar nerve injury, in addition clinical alignment, Flynn grade, range of motion, function, and complications. The operative procedure was standardized. Sixty two patients were studied, 32 and 30 in cross K wire and lateral K wire entry group respectively. Two cases of iatrogenic ulnar nerve injury was documented in crossed K wire fixation group but it was insignificant (p value=0.336). No significant difference was observed in terms of change in Baumann or humerocapitellar angle, carrying angle, elbow range of movement. Both techniques are equally effective. Ulnar nerve injury can be minimized by taking certain precaution as in text.
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页码:29 / 35
页数:7
相关论文
共 22 条
[1]  
Barlas Khurram, 2005, Acta Orthop Belg, V71, P149
[2]  
Beaty JH, 1995, AAOS INSTR COURS LEC, V44, P199
[3]   TRAUMATIC AND IATROGENIC NEUROLOGICAL COMPLICATIONS AFTER SUPRACONDYLAR HUMERUS FRACTURES IN CHILDREN [J].
BROWN, IC ;
ZINAR, DM .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1995, 15 (04) :440-443
[4]   BLIND PINNING OF DISPLACED SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN - 16 YEARS EXPERIENCE WITH LONG-TERM FOLLOW-UP [J].
FLYNN, JC ;
MATTHEWS, JG ;
BENOIT, RL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1974, A 56 (02) :263-272
[5]  
GARTLAND JJ, 1959, SURG GYNECOL OBSTET, V109, P145
[6]   Fracture stability after pinning of displaced supracondylar distal humerus fractures in children [J].
Gordon, JE ;
Patton, CM ;
Luhmann, SJ ;
Bassett, GS ;
Schoenecker, PL .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2001, 21 (03) :313-318
[7]   Low incidence of ulnar nerve injury with crossed pin placement for pediatric supracondylar humerus fractures using a mini-open technique [J].
Green, DW ;
Widmann, RF ;
Frank, JS ;
Gardner, MJ .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2005, 19 (03) :158-163
[8]  
KALLIO PE, 1992, J PEDIATR ORTHOPED, V12, P11
[9]   Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children - A Randomized clinical trial [J].
Kocher, Mininder S. ;
Kasser, James R. ;
Waters, Peter M. ;
Bae, Donald ;
Snyder, Brian D. ;
Hresko, M. Timothy ;
Hedequist, Daniel ;
Karlin, Lawrence ;
Kim, Young-Jo ;
Murray, Martha M. ;
Millis, Michael B. ;
Emans, John B. ;
Dichtel, Laura ;
Matheney, Travis ;
Lee, Ben M. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) :706-712
[10]   Displaced pediatric supracondylar humerus fractures: Biomechanical analysis of percutaneous pinning techniques [J].
Lee, SS ;
Mahar, AT ;
Miesen, D ;
Newton, PO .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2002, 22 (04) :440-443