Muhammad Salim, Zakaullah Malik, Ejaz Ashraf Mallhi.
Outcome of Close Reduction and Percutaneous Pinning In Displaced Pediatric Supracondylar Fracture of Humerus Assessed By Flynn`s Criteria.
J Surg Pak Jan ;18(3):121-5.

Objective: To evaluate the adequacy of closed reduction and percutaneous Kirschner (K)-wire fixation technique in treatment of unstable type II and III supracondylar humeral fractures in children by Flynn`s Criteria. Study design: A descriptive study. Place & Duration of study: Combined Military Hospital / Military Hospital Rawalpindi, from August 2008 to September 2012. Methodology: Children with displaced type II and III supracondylar fractures of the humerus who were managed with closed reduction and percutaneous K-wire fixation were included. All patients were operated upon within three days after trauma. Patients were followed up for a mean period of 4±1 months and assessed radiologically for union. Functionally and cosmetically they were assessed according to Flynn`s criteria. Results: Eighty nine children with displaced type II and III supracondylar fractures of the humerus were managed with closed reduction and percutaneous K-wire fixation. There were 67 boys and 22 girls with a mean age of 7.2±2.07 year. All patients achieved solid union. Functionally, 94.4% patients achieved excellent and good while 4.5% had satisfactory results. Cosmetically 86.5% of patients had excellent and good results, 5.6% satisfactory and 7.9% had unsatisfactory results. The most frequent complication was minor pin tract infection in seven patients. Two patients had neuraprexia of ulnar nerve after pinning. Conclusion: The obtained results and few complications noted suggest that the technique is a suitable treatment option for displaced type II and III supracondylar fractures in children, if referred early.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com