Supracondylar fracture humerus (Gartland Type III) managed with closed reduction and percutaneous pinning (CRPP) in children.

  • Masroor Ahmed Civil Hospital Karachi.
  • Badaruddin Sahito Dow University of Health Sciences Civil Hospital Karachi.
  • Rukhsana Hamid Jinnah Postgraduate Medical Center, Karachi.
  • Nida - Fatima Memorial College of Medicine and Dentistry, Lahore.
  • Mukesh Kumar AWAT General Hospital, Karachi.
  • Ghulam Hussain KVSS Site Hospital, Karachi
Keywords: Supracondylar Humerus fracture (SCHF), closed reduction and percutaneous pinning (CRPP), Open reduction internal fixation (ORIF)

Abstract

Objectives: The objective of this study is to assess the functional outcome of close reduction and percutaneous K- wire fixation in supracondylar humeral fracture (SCHF) Gartland type III fractures in children. Study Design: Experimental study. Period: January 2017 to December 2017. Setting: Department of Orthopedics Civil Hospital Karachi. Material & methods: 60 children sustaining a Gartland type III supracondylar humerus fractures less than 1 week old that was treated by closed reduction and percutaneous pinning. Clinical results were evaluated using the Flynn’s criteria. Results: All the 60 children with Gartland type III supracondylar humerus fracture included in this study. 42 (70%) boys and 18 (30%) girls with age ranging between 2 to 10 years .Right side was involved in 37(62%) and left side was involved in 23 (38%) patients. All patients are of extension type fracture. According to Flynn’s criteria cosmetic results were excellent in 54 (90%) and good in 6 (10%) patients and functional results were excellent in 54 (90%), good in 4(7%), fair in 2 (2%) and poor in 1(1%) patient. One patient ulnar nerve injury, after 3 months nerve explored that was contused, symptoms resolved afterwards. Conclusion: Close reduction and percutaneous fixation with K-wire in Gartland III fracture in children is safe and effective treatment method with minimal hospital stay and less complications.

Author Biographies

Masroor Ahmed, Civil Hospital Karachi.

MBBS, MRCS, FCPS

Assistant Professor

Department of Orthopedic Surgery

 

Badaruddin Sahito, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor

Department of Orthopedic Surgery

 

Rukhsana Hamid, Jinnah Postgraduate Medical Center, Karachi.

MBBS, MRCS (Glasgow) FCPS

Consultant Surgeon

Department of Surgery

 

Nida -, Fatima Memorial College of Medicine and Dentistry, Lahore.

MBBS, M.PHIL (Physiology)

Assistant Professor

 

Mukesh Kumar, AWAT General Hospital, Karachi.

MBBS, MRCS, FCPS

Consultant

Department of Orthopedic Surgeon

 

Ghulam Hussain, KVSS Site Hospital, Karachi

MBBS, FCPS

Assistant Professor

Hamdard University and

 

Published
2020-06-10