Supracondylar Fracture of Humerus in Children Treated With Closed Reduction and Percutaneous Cross Pinning Vs. Two Lateral Pinning

Objective: to analyze and determine anatomical restoration by using percutaneous cross pinning v/s two lateral pinning,functional outcome in these modalities,assess the complications in these methods of treatment and compare patient acceptance of each method. methodology: this was a comparative cross sectional study carried out in the department of orthopeadic unit-i,liaquat university hospital (luh) hyderabad from 01-11-2010 to 31-10-2012. this study consisted of 40 patients admitted through the out patient department as well as casuality department. detailed clinical examination of the patient was done and recorded in proforma. all patients underwent base line and specific investigations especially x-ray. results: in this study percutaneous cross pinning group 17(85%) were male and 3(15%) female. in two lateral pinning group 18(90 %) were male and 2(10 %) female. there was wide variation of age ranging from a minimum of 3 years to 13 years in both groups. the mean age was 7.25+3.22 years. the major cause of fracture in this study was fall while playing in 21 patients (52.5%),followed by fall from bicycle in 11 patients (27.5%) and in 8 patients (20%) were due to fall from tree(5 to 7 feets height). in our study,we have 26(65%) patients with postero-medial displacement and 14(35%) patients with postero-lateral displacement. the complications were seen superficial pin tract infection 0(0%) patients in percutaneous cross pinning vs 1(05%) patients in two lateral pinning group,non union 1(05%) patients in percutaneous cross pinning vs 2(10%) patients in two lateral pinning group group),k-wire migration 1(05%) patients in per cutaneous cross pinning vs 2 (10%) patients in two lateral pinning group group). outcome according to flynn criteria were seen in this study,carrying angle loss 2(10%) patients in per cutaneous cross pinning vs 4(20%) patients in two lateral pinning group) and loss of motion 3(15%) patients in per cutaneous cross pinning vs 5(25%) patients in two lateral pinning group. conclusion: the management with percutaneous cross pinning is better method of treating supra-condylar fractures of humerus and more predictable as compare to that of two lateral pinning. © 2014,liaquat university of medical and health sciences. all rights reserved.