Umar Hayat, Sohrab Ali, Shaukat Hayat.
Outcome of Lateral vs Cross Pinning in Umar Hayat Supracondylar Humerus Fractures in Children.
Ophthalmol Update Jan ;15(3):278-9.

Background: Supracondylar humerus fractures are one of the most common fractures in children .Closed reduction under general anesthesia and placement of 2 or more wire from lateral side is the most commonly performed procedure. The objective of this study was to determine the outcome of lateral only pins in the operative management of supracondylar fractures in children as compared to cross pinning. Materials & Methods: This study was conducted in orthopedic and trauma department of Fauji Foundation Hospital Peshawar w.e. f June 2015 to December 2016. Children with gartland type II and III closed injuries without neurovascular compromise were included in the study. Outcome was measured in terms of ulnar nerve symptoms, non-union and varus mal-alignment. RESULT: A total of 39 patients were included in the study, 22(56%) were type II and 17(44%) were type III fractures. Out of total type II fractures 17(77%) were managed with lateral only pinning and 5(23%) needed a medial pin as well. Of the type III fractures 10(59%) were managed by lateral pinning and 7(41%) by cross pin pattern. On final follow up no non-union, versus misalignment or ulnar nerve deficit was observed. Conclusion: Lateral pin fixation has eliminated the risk of iatrogenic ulnar nerve injury with comparable clinical outcome to cross K- wire fixation.

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