Percutaneous pinning of supracondylar fracture humerus with crossed kirschner wires after closed reduction under image intensifier guidance in paediatric age group
Keywords:
neurovascular - nerve injuries, arterial, myositis ossificans
Abstract
Background: The common pediatric injuries around elbow are supracondylar fractures of humerus. Some of them are displaced - Gartland2 and 3. These fracturesmay causecomplications like deformities and neurovascular problems without reduction and fixation. Percutaneous pinning with crossed k-wires show good results among different method used for treatment.
Method:40 patients between the age groups 2 -10 years were treated with percutaneous pinning with crossed kirschner wires, after closed reduction under guidance of image intensifier(C-ARM). These patient come under Gartland 2&3 according to classification and treated between 2012-2015. The fractures are around seven days old. Flynn’s criteria used for assessing clinical results.
Results: The age groups 2 -10 years were treated with mean age- 5 years. The follow-up duration 2-4 years-mean2 years. The outcomes were assed with Flynn`s criteria and found to be excellent in 28, good in 10, fair in 1,poor in 1.
Conclusion: Percutaneous pinning with crossed k-wires show good results among different method used for treatment for Gartland 2&3 supracondylar fractures in paediatric age.
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References
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13.Gartland JJ. Management of supracondylar fractures in children. SurgGynecol Obstet. 1959;109:145-154.
14.Dunlop J. Transcondylar fracture of the humerus in children. J Bone JtSurg Am. 1939;21:59-73.
15.Dodge HS. Displaced supracondylar fractures of the humerus in children e treatment by Dunlop’s traction. J Bone JtSurg Am. 1972;54:1408-1418.
16.Mazda K, Boggione C, Fitoussi F, Pennec¸ot GF. Systematic pinning of displaced extension-type of supracondylar fractures of the humerus in children. A prospective study of 116 consecutive patients. J Bone JtSurg Br. 2001;83:888-893.
17.Davis RT, Gorczyca JT, Pugh K. Supracondylar humerus fractures in children. Comparison of operative treatment methods. ClinOrthopRelat Res. 2000;376:49-55.
18.Mubarak SJ, Carroll NC. Volkmann’s contracture in children: aetiology and prevention. J Bone JtSurg Br. 1979;61:285-293.
19.Royce RO, Dutkowsky JP, Kasser JR, Rand FR. Neurologic complications after K-wire fixation of supracondylar humerus fractures in children. J PediatrOrthop. 1991;11:191-194.
20.Swenson AL. The treatment of supracondylar fractures of the humerus by Kirschner-wire transfixion. J Bone JtSurg Am. 1948;30:993-997.
21.Flynn JC, Matthews JG, Benoit RL. Blind pinning of displaced supracondylar fracture of the humerus in children. Sixteen years’ experience with long-term follow-up. J BointJtSurg Am. 1974;56:263-272.
22.Zoints LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fracture of the humerus in children. J Bone JtSurg (Am). 1994;76:253-256.
23.HerzenbergJt, Koreska J, Carroll NC, Rang M. Biochemical testing of fixation technique for pediatric supracondylar elbow fractures. Orthop Trans. 1988;12:678-679.
2.Current Strategies for the Management of Pediatric Supracondylar Humerus Fractures: Tips and Techniques for Successful Closed Treatment.Brighton B, Abzug J, Ho CA, Ritzman TF.Instr Course Lect. 2016;65:353-60.
PMID: 27049203
3.Management of pediatric supracondylar humerus fractures with vascular injury, Sanders JO, Heggeness MH, Murray JN, Pezold RC, Sevarino KS.J Am AcadOrthop Surg. 2016 Feb;24(2):e21-3. doi: 10.5435/JAAOS-D-5-00701.PMID: 26735703
4.Management of supracondylar humerus fractures.Heggeness MH, Sanders JO, Murray J, Pezold R, Sevarino KS.J Am AcadOrthop Surg. 2015 Oct;23(10):e49-51. doi: 10.5435/JAAOS-D-15-00406. Epub 2015 Aug 28.PMID: 26320161
5.The treatment of displaced supracondylarhumerusfractures : evidence based guide lines.Mulpuri K, Wilkins K.J PediatrOrthop. 2012 Sep;32 Suppl2:S143-52. doi: 10.1097/BPO.0b013e318255b17b. Review.PMID: 22890454
6. management of pediatric type 111 supracondylar humerus fractures in united states: results of nationa survey of paediatricorthopaedic surgeons.Carter CT, Bertrand SL, Cearley DM.J PediatrOrthop. 2013 Oct-Nov;33(7):750-4. doi: 10.1097/BPO.0b013e31829f92f3.
PMID: 2402558
7.Clinical and epidemiological charecteristics of humeral supracondylar fractures in pediatric patients in a regional hospital.Barrón-Torres EA, Sánchez-Cruz JF, Cruz-Meléndez JR.Cir Cir. 2015 Jan-Feb;83(1):29-34. doi: 10.1016/j.circir.2015.04.020. Spanish.PMID: 25982605
8.The comaritive of evaluation treatment outcomes in pediatric displaced supracondylar humerus fractures managed with either open or closed reduction and percutaneous pinning.Keskin D, Sen H.ActaChirOrthopTraumatolCech. 2014;81(6):380-6.PMID: 25651292
9.A study of biplanar crossed pin construct in the management of displaced pediatric humoral supracondylar fractures. Mohammed R, Bhogadi P, Metikala S.J Child Orthop. 2014 Oct;8(5):435-41. doi: 10.1007/s11832-014-0607-y. Epub 2014 Sep 3.PMID: 25183167
10.Mostafavi HR, Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. ClinOrthopRelat Res. 2000;376:56-61.
11.D’Ambrosia RD. Supracondylar fractures of humerus e prevention of cubitusvarus. J Bone JtSurg Am.1972;54:60-66.
12.Aronson DD, Prager BI. Supracondylar fractures of the humerus in children. A modified technique for closed pinning. ClinOrthopRelat Res. 1987;219:174-184.
13.Gartland JJ. Management of supracondylar fractures in children. SurgGynecol Obstet. 1959;109:145-154.
14.Dunlop J. Transcondylar fracture of the humerus in children. J Bone JtSurg Am. 1939;21:59-73.
15.Dodge HS. Displaced supracondylar fractures of the humerus in children e treatment by Dunlop’s traction. J Bone JtSurg Am. 1972;54:1408-1418.
16.Mazda K, Boggione C, Fitoussi F, Pennec¸ot GF. Systematic pinning of displaced extension-type of supracondylar fractures of the humerus in children. A prospective study of 116 consecutive patients. J Bone JtSurg Br. 2001;83:888-893.
17.Davis RT, Gorczyca JT, Pugh K. Supracondylar humerus fractures in children. Comparison of operative treatment methods. ClinOrthopRelat Res. 2000;376:49-55.
18.Mubarak SJ, Carroll NC. Volkmann’s contracture in children: aetiology and prevention. J Bone JtSurg Br. 1979;61:285-293.
19.Royce RO, Dutkowsky JP, Kasser JR, Rand FR. Neurologic complications after K-wire fixation of supracondylar humerus fractures in children. J PediatrOrthop. 1991;11:191-194.
20.Swenson AL. The treatment of supracondylar fractures of the humerus by Kirschner-wire transfixion. J Bone JtSurg Am. 1948;30:993-997.
21.Flynn JC, Matthews JG, Benoit RL. Blind pinning of displaced supracondylar fracture of the humerus in children. Sixteen years’ experience with long-term follow-up. J BointJtSurg Am. 1974;56:263-272.
22.Zoints LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fracture of the humerus in children. J Bone JtSurg (Am). 1994;76:253-256.
23.HerzenbergJt, Koreska J, Carroll NC, Rang M. Biochemical testing of fixation technique for pediatric supracondylar elbow fractures. Orthop Trans. 1988;12:678-679.
CITATION
DOI: 10.17511/ijmrr.2016.i05.32
Published: 2016-05-31
How to Cite
1.
N. R, Reddy G. V, Kund A. S, Reddy. M. A. Percutaneous pinning of supracondylar fracture humerus with crossed kirschner wires after closed reduction under image intensifier guidance in paediatric age group. Int J Med Res Rev [Internet]. 2016May31 [cited 2024Nov.8];4(5):850-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/567
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