Vol. 1, Issue 3 (2019)
Comparison of cross pin Vs lateral pin fixation in displaced supracondylar fracture humerus in children
Author(s): Dr. Anand Mohan kayath, Dr. Ankit Kumar kayathwal
Abstract: Background: Supracondylar fracture of the humerus are the most common elbow fractures in children most commonly seen in the first decade of life. Most common modality of treatment is closed reduction and percutaneous pinning using k-wires. Two crossed pins [one lateral and one medial] or two lateral pins can be used after fracture reduction. Objective: To compare the two modalities of treatment in gartland type 2 and gartland type 3 fracture humerus in children. Materials and method: This was a retrospective study done in K.D. medical college, Mathura and M.G.M. Medical College, Indore between feb 2018 to feb 2019. Results: Out of the 70 patients, 52 (60.9%) were treated with a medial lateral cross pin and 18(39.1%) were fixed with two lateral parallel pins. The average age of the patients who were fixed with the medial lateral cross pin was 6.5± SD 2.5 years and that of those treated with the lateral two parallel pins was 7.5± SD 3.0 years. 21 (30%) patients had type II and 49 (70%) had type III fractures. Conclusion: In our study, crossed pin configuration was found to be a superior method of fixation as it gave more stability.