Supracondylar fracture, buried vs non buried K wires.

  • Usama Bin Saeed Allied Hospital/Faisalabad Medical University.
  • Muhammad Waseem Allied Hospital/Faisalabad Medical University.
  • Allah Rakha Hassan DHQ Hospital.
  • Zeeshan Ali Khan DHQ Hospital Faisalabad.
  • Dilshad Gill
  • Shahbaz Ahmad Allied Hospital/Faisalabad Medical University.
Keywords: Children, Humerus, Internal Fixation, Open Reduction, Supracondylar Fracture

Abstract

Supracondylar fracture of the humerus is the second most common fracture in children (16.6%), and is most common fracture around the elbow in children comprise (60%) to (75%) of all elbow fractures. There is very little data available about the burier of wires under the skin reduces the pin tract infection rate as low as 2.27%.2Objectives: To compare the frequency of pin tract infection between nonburied and buried K-wires after open reduction internal fixation in supracondylar fracture of humerus in children. Study Design: Prospective Cohort Study. Setting: Department of Orthopedics Surgery & Traumatology Allied Hospital Faisalabad. Period: From June 2014 - June 2017. Material & Methods: Patients were selected according to the inclusion criteria. All patients were registered in ER with a history of trauma and having the diagnosis of Supracondylar fracture. Two groups were made; Group A (Buried), Group B (Non-buried). They were followed for the signs of infection. Results:  Out of 80 cases 45 (56.3 %) were male and 35 (43.8 %) female. In group A (non-buried) there were 40 patients and Mean age was 7.57± 2.07 years, pin tract were infected in 8 (20%) patients and there were no pin tract infection in 32 (80%) patients. And in group B (buried) there were 40 patients and mean age was 7.38± 2.17 years, Pin tract was infected in 1(2.5%) patient and there were no pin tract infection in 39(97.5%). Conclusion: Our study showed that rate of infection is significantly reduced in burying of K-wires after open reduction and internal fixation of supracondylar fractures as compared to non-burying technique.

Author Biographies

Usama Bin Saeed, Allied Hospital/Faisalabad Medical University.

MBBS, FCPS (Ortho)

Senior Registrar

 

Muhammad Waseem, Allied Hospital/Faisalabad Medical University.

MBBS, FCPS (Ortho)

Senior Registrar

 

Allah Rakha Hassan, DHQ Hospital.

MBBS, FCPS (Ortho)

Senior Registrar

 

Zeeshan Ali Khan, DHQ Hospital Faisalabad.

MBBS, FCPS (Ortho)

Assistant Professor

 

Dilshad Gill

MBBS, FCPS (Ortho)

Medical Officer

Shahbaz Ahmad, Allied Hospital/Faisalabad Medical University.

MBBS, FCPS (Ortho)

Admin Registrar

 

Published
2020-03-10