Title: Open reduction and percutaneous pinning via lateral approach without using C-arm in Gartland type III supracondylar humerus fractures in children
Authors: Tanveer Ahmed Bhat, Malik Naseer Ahmad, Imtiyaz Ahmad Beigh, Mohammad Farooq Butt, Zubair Ahmad lone, Tanveer Ali, Karanbir Singh
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.111
Abstract
Introduction: The outcomes of open reduction of displaced supracondylar humerus fractures in children via lateral approach with percutaneous pinning without using C-arm were evaluated.
Methods: Thirty six consecutive patients with Gartland type III fractures were consecutively treated between June 2016 to January 2019 in our hospital. The mean follow- up period was 12 months (6-15 months). The patients were analysed according to the Flynn criteria.
Results: After an average follow-up of 12 months, the results were excellent in 26, good in 4, fair in 3, and poor in 3. Only 2 cases needed revision surgery due to unacceptable reduction. There was one iatrogenic ulnar nerve injury and two cases of pin tract infection which resolved with antibiotics.
Conclusion: Open reduction and percutaneous pinning is a safe and effective procedure to treat supracondylar humerus fractures in children and can be done without C-arm with fairly good accuracy.
Keywords: percutaneous pinning; fluoroscopy; supracondylar; closed reduction; open reduction.
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