$Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children$
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Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children

Introduction: Supracondylar fracture of humerus is very common fracture in pediatric age group. The current trends of management in displaced type are close reduction and per cutaneous pinning (CRPP), if reduction is not satisfactory then open reduction and internal fixation (ORIF) is done. Our st...

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Autores principales:	Amin Kumar Shrestha, Suresh Uprety, Govinda K.C., Sharma Paudel
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Supracondylar fracture Anterior humeral line Baumann's angle Flynn's Criteria Surgery RD1-811
Acceso en línea:	https://doaj.org/article/235d81f4eacf4ac8b3c54c14ee9076aa
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spelling	oai:doaj.org-article:235d81f4eacf4ac8b3c54c14ee9076aa2021-12-05T19:16:24ZFunctional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children10.3126/jssn.v19i2.245451815-39842392-4772https://doaj.org/article/235d81f4eacf4ac8b3c54c14ee9076aa2016-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24545https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Supracondylar fracture of humerus is very common fracture in pediatric age group. The current trends of management in displaced type are close reduction and per cutaneous pinning (CRPP), if reduction is not satisfactory then open reduction and internal fixation (ORIF) is done. Our study aims to compare the cosmetic, functional and radiological outcome between these two methods. Methodology: Children with displaced extension type supracondylar fracture of distal humerus presenting to emergency room and orthopedics OPD who could meet the inclusion criteria were taken up for study. Sixty-three such patients (37 CRPP and 26 ORIF) were included in the study. Radiological and functional outcomes were followed up at 8 weeks post-operatively. Results: Of the 63 patients enrolled, 26 (41.3%) patients had undergone open reduction and internal fixation and 37 (58/7%) had undergone close reduction and percutaneous pinning. The mean age of patients in CRPP and ORIF groups was 7.29±2.3 years and 8.11±2.02 years respectively. Maximum patients were from age group 7-9 years (46%). Left side was more commonly injured (66.7% vs. 33.3%) (P = 0.045). According to the Flynn’s criteria, cosmetically the outcome did not differ between the two surgical groups (P = 0.23). However, CRPP proved to have a significantly better functional outcome (P=0.000). The mean Bauman’s angle in CRPP and ORIF groups was 16.89±5.66 and 18.88±4.90 degrees respectively. However, there is no statistically significant difference between the type of fixation and Bauman’s angle or Anterior humeral line. Conclusions: Close reduction and percutaneous pinning (CRPP) has better functional and radiological outcome in comparison with open reduction and internal fixation (ORIF) in displaced supracondylar fracture of humerus in children. Amin Kumar ShresthaSuresh UpretyGovinda K.C.Sharma PaudelSociety of Surgeons of NepalarticleSupracondylar fractureAnterior humeral lineBaumann's angleFlynn's CriteriaSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 19, Iss 2 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Supracondylar fracture Anterior humeral line Baumann's angle Flynn's Criteria Surgery RD1-811
spellingShingle	Supracondylar fracture Anterior humeral line Baumann's angle Flynn's Criteria Surgery RD1-811 Amin Kumar Shrestha Suresh Uprety Govinda K.C. Sharma Paudel Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
description	Introduction: Supracondylar fracture of humerus is very common fracture in pediatric age group. The current trends of management in displaced type are close reduction and per cutaneous pinning (CRPP), if reduction is not satisfactory then open reduction and internal fixation (ORIF) is done. Our study aims to compare the cosmetic, functional and radiological outcome between these two methods. Methodology: Children with displaced extension type supracondylar fracture of distal humerus presenting to emergency room and orthopedics OPD who could meet the inclusion criteria were taken up for study. Sixty-three such patients (37 CRPP and 26 ORIF) were included in the study. Radiological and functional outcomes were followed up at 8 weeks post-operatively. Results: Of the 63 patients enrolled, 26 (41.3%) patients had undergone open reduction and internal fixation and 37 (58/7%) had undergone close reduction and percutaneous pinning. The mean age of patients in CRPP and ORIF groups was 7.29±2.3 years and 8.11±2.02 years respectively. Maximum patients were from age group 7-9 years (46%). Left side was more commonly injured (66.7% vs. 33.3%) (P = 0.045). According to the Flynn’s criteria, cosmetically the outcome did not differ between the two surgical groups (P = 0.23). However, CRPP proved to have a significantly better functional outcome (P=0.000). The mean Bauman’s angle in CRPP and ORIF groups was 16.89±5.66 and 18.88±4.90 degrees respectively. However, there is no statistically significant difference between the type of fixation and Bauman’s angle or Anterior humeral line. Conclusions: Close reduction and percutaneous pinning (CRPP) has better functional and radiological outcome in comparison with open reduction and internal fixation (ORIF) in displaced supracondylar fracture of humerus in children.
format	article
author	Amin Kumar Shrestha Suresh Uprety Govinda K.C. Sharma Paudel
author_facet	Amin Kumar Shrestha Suresh Uprety Govinda K.C. Sharma Paudel
author_sort	Amin Kumar Shrestha
title	Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
title_short	Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
title_full	Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
title_fullStr	Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
title_full_unstemmed	Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
title_sort	functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/235d81f4eacf4ac8b3c54c14ee9076aa
work_keys_str_mv	AT aminkumarshrestha functionalandradiologicaloutcomeafterclosedreductionandpercutaneouspinningversusopenreductionandinternalfixationindisplacedsupracondylarfracturesinchildren AT sureshuprety functionalandradiologicaloutcomeafterclosedreductionandpercutaneouspinningversusopenreductionandinternalfixationindisplacedsupracondylarfracturesinchildren AT govindakc functionalandradiologicaloutcomeafterclosedreductionandpercutaneouspinningversusopenreductionandinternalfixationindisplacedsupracondylarfracturesinchildren AT sharmapaudel functionalandradiologicaloutcomeafterclosedreductionandpercutaneouspinningversusopenreductionandinternalfixationindisplacedsupracondylarfracturesinchildren
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Functional and radiological outcome after closed reduction and percutaneous pinning versus open reduction and internal fixation in displaced supracondylar fractures in children

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