Displaced supracondylar fracture of humerus in
children treated with crossed pin versus lateral
pin: A Hospital based Study from Western Nepal
Manoj Kumar Chakraborty,
MS (Orth), DPMR, FICS
Prof & HOD, Orthopedics Department,
Manipal College of Medical Sciences, Pokhara, Nepal.
Email : email@example.com
Background: The supracondylar fracture of the humerus is the second most common fracture in children and the most frequent one in the first decade of life. Close reduction with percutaneous pin fixation has become the treatment of choice. The success of the treatment depends on the strength of the fixation and the avoidance of complications. Crossed pin (medial and lateral pin) and two lateral parallel pin fixations after the reduction of the fracture are recommendable.
Objective: To compare the efficacy of the two recommended methods of internal fixation of the displaced supracondylar fractures, Gartlandâ€™s Type II and Type III of the humerus in children. Material and Methods: This was a hospital based retrospective study which was conducted in Nepal between January 2010 and June 2011.
Results: Out of the 92 patients, 56 (60.9%) were fixed with a medial lateral cross pin and 36 (39.1%) were fixed with lateral two parallel pins. The average age of the patients who were fixed with the medial lateral cross pin was 7.5Â± SD 2.3 years and that of those who were fixed with the lateral two parallel pins was 7.6Â± SD 3.0 years. 24 (26.1%) patients had type II and 68 (73.9%) had type III fractures.
Conclusion: In our study, crossed pining was found to be superior to the two parallel lateral pinning; because crossed pinning had more stability.