Online ISSN: 2515-8260

Keywords : humerus


A Comparative study between Percutaneous cross vs Lateral K wire fixation in displaced supracondylar humerus fractures .

Paramesha K C , Nitin N Sunku, Raghavendra J

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 695-700

Background: Supracondylar humerus fractures are one of the commonest fractures in the paediatric age group. Displaced fractures of these kind, that is, Gartland type III are treated by closed or open reduction and k wire fixation. Cross k wire and lateral wires are the commonest configurations used for fixation. The present study aims to evaluate the difference between the two configurations in terms of surgical technique, functional outcome and complications. Objectives: To compare the functional and radiological outcome of lateral and cross pinning of displaced supracondylar humerus fractures of children METHODOLOGY:This was a prospective comparative study of 40 paediatric patients with supracondylar fracture humerus in the department of Orthopaedics in a Tertiary care Centre after the inclusion & exclusion criteria were met. Immediately after admission , a detailed neurovascular examination was done. Anteroposterior & Lateral Radiographs of the elbow were taken & type of fracture was noted. Informed and written consent was taken from the parent/guardian. Then 20 patients were treated with Lateral K- wire technique  (Group A ) and another 20 patients with Cross K- wire (Group B) pinning technique of fixation. Results: The average follow-up period for patients in lateral K wiring technique  was 12.23 ± 1.9 months while that for patients in cross K wiring technique was 11.26 ± 2.5 months. This difference was not found to be statistically significant.  As per the Flynn criteria, 13 patients in group A had excellent results, 5 patients  had good results and 2 patient  had fair result. In group B, 12 patients had excellent results, 7 patients  had good results and 1 patients (20.0 %) had fair results. No patients in either group had a poor result. Conclusion: Both lateral and cross k wire fixation are similarly effective techniques for stabilising supracondylar humerus fractures, with comparable functional, radiological, and aesthetic results.

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
significant.
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
accidents.

A prospective comparative study of functional and radiological outcome in percutaneous trans-olecranon fossa four cortex purchase lateral pinning versus cross-pinning in displaced supracondylar fractures of humerus in children

Somashekara S.A, Deepak H.R, Sunkappa S.R Somashekar Doddabhadre Gowda, Manoj Gidaganti

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 871-879

Traditional treatment with closed reduction and application of plaster slab or cast is
inappropriate in the case of displaced supracondylar fractures of humerus as this method may
potentially lead to malunion & subsequent elbow deformity, as it is difficult to obtain
satisfactory reduction and to maintain the reduction due to distraction forces acting at the
elbow. Our study involved 40 children who had sustained displaced supracondylar fractures
(Gartland-Type III) who were treated in the Department of Orthopaedic at a Tertiary care
trauma center, between November 2018 to May 2020. 55% of our cases were in the age group
5-10 years, 60% were male & 40% female.
80% (n=32) of the cases had history of fall on outstretched hand, followed by 3% with fall on
flexed hand which is in concordance with the most common mode of injury established by
many studies. 70% of the cases had fracture of left supracondylar humerus as compared to
30% on the right side. 30 out 40 cases had postero-medial displacement of distal fragment &
remaining 10 cases had postero-lateral displacement.

Management of humeral shaft fracture: A comparative study between interlocking nail and dynamic compression plating

Dr. H. Manjunath, Dr. Vikrant Kulkarni, Dr. Punith Nanjesh, Dr. Shivaprasad A Bhat, Dr. Ullas Mahesh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11904-11909

Introduction: There is a debate about the choice of operative intervention in humerus shaft fractures requiring surgical intervention. A prospective, comparative study of management of acute humeral shaft fractures treated by antegrade interlocking nail fixation and dynamic compression plating was undertaken over a period of three years. Twenty patients of interlocking nailing and sixteen patients of plating were included after considering the inclusion and exclusion criteria. Functional scoring criteria were used for postoperative assessment and the average follow-up period was one year. A higher rate of excellent and good results and a tendency for earlier union was seen with the plating group in our series.