Online ISSN: 2515-8260

Keywords : Supracondylar Fractures

Crossed pinning versus lateral pinning for displaced extension type supracondylar fractures of the humerus in children

Dr. Jasani Ajay Batuk, Dr. Jayur Solanki, Dr. Parimal Patel

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 2, Pages 1448-1453

highest incidence of supracondylar fracture of humerus is in Pediatric age group and the most common being the extension type of supracondylar fracture. Precise diagnosis evaluation and planning is required for deciding the best modality of treatment for these fractures. They are most widely managed by utilizing two methods; lateral pinning and crossed pinning. So aim of study remains to determine the superiority of either of these techniques over the other.
Materials and Methods: A prospective, single blinded, randomized control trial with 53 cases, out of which 39 were boys and 14 were girls was conducted. Mean age group of study was 6.9 years. Acoording to Gartland classification Type III supracondylar fractures were included in this study. Detailed post-operative primary assessment for major loss of reduction and iatrogenic ulnar nerve injury was done. Clinical outcome, elbow range of motion, radiographic measurement, Flynn’s grading and complications were the secondary parameters which were assessed.
Results: Both groups exhibited no major loss of reduction. Change of Boumann angle was statistically insignificant. Metaphysial-Diaphysial angle, Flynn grade, carrying angle and total elbow range of motion between the two groups showed no statistically significant difference.
Conclusion: Lateral pin fixation offers parallel results in terms of functional and radiological outcomes and nearly equal mechanical stability compared to medial-lateral pinning without the added shortcoming of possibility of iatrogenic ulnar nerve injury.

To Assess Prevalence of Supracondylar Fractures of Humerus Among Patients Visited to Tertiary Care Hospital

Vijay Sharma,Shakti Condil Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 172-175

Background: Supracondylar fractures of the humerus are the most common elbow
fractures in children and adolescents accounting for 50-70% of all elbow fractures.
Supracondylar fractures may result in significant neurovascular compromise. The
present study was conducted to assess the prevalence of supracondylar fractures of
humerus among the patients who visited to tertiary care hospital.
Materials and Methods: The present retrospective study was conducted among 110
cases of supracondylar fractures reported to the department of both genders. General
information such as name, age, gender etc. was recorded. In all patients, the reason of
fracture and type were recorded. Data was collected and the data were analysed in
SPSS version 22 for windows. P value less than 0.05 was considered statistically
Results: In the present study out of 110 patients, 59.09% were males and 40.90% were
females. Gartland type II was seen in 28 males and 18 females and Gartland type III in
37 males and 27 females. The common reason for fractures was roadside accidents seen
in 47.27%, domestic violence in 35.45% and fall in 17.27%.
Conclusion:The present study concluded that supracondylar fractures of humerus were
more common in males than in females. The common reason for fractures was roadside