A Comparative Study of Crossed Pinning Versus Lateral Pinning by Percutaneous K-wire in Paediatric Supracondylar Fractures of Humerus
DOI:
https://doi.org/10.7439/ijbr.v9i9.4900Abstract
Aim: the present study aims at comparing the functional outcome of percutaneous crossed pinning with lateral pinning. Materials and Methods: An analysis of results with regards to ulnar nerve injury, carrying angle and range of movements was made in 17 children with lateral pinning and 28 children with crossed pinning. Functional outcome was graded according to Mitchell and Adams criteria. Results: There was no statistically significant difference with regards to functional outcome, between two groups.Both methods produced satisfactory results in all cases .Ulnar nerve injury occurred in two cases (7%) after cross pinning. One case had significant palsy, which recovered by four months and the other had only ulnar nerve parasthesia. Conclusion: Percutaneous pinning is an excellent method of treatment of type III supracondylar fractures in children. Crossed medial and lateral pinning may be considered the treatment of choice in majority of these fractures, with careful technique safeguarding against ulnar nerve injury. The lateral pinning is an equally good treatment of choice especially for grossly swollen elbows in which the medial epicondyle is barely palpable.Downloads
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References
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French PR. Varus deformity of the elbow following supracondylar fractures of the humerus in children. Lancet. 1959 Sep 26; 2(7100): 439-41.
Madsen E. Supracondylar fractures of the humerus in children. J Bone Joint Surg Br. 1955 May; 37-B (2): 241-5.
Topping RE, Blanco JS, David TJ. Clinical evaluation of crossed-pin versus lateral-pin fixation in displaced supracondylar humerus fractures. J Pediatr Orthop. 1995 Jul-Aug; 15(4):435-9.
William J. Mitchell, MC; John P. Adams, M.D. Supracondylar Fractures of the Humerus in Children A Ten-Year Review JAMA. 1961; 175(7): 573-577. doi:10.1001/jama.1961.0304007003100
Wilkins KE: The operative management of supracondylar fractures. Orthop Clin North Am. 1990 Apr; 21(2): 269-89.
Solak S, Aydin E. Comparison of two percutaneous pinning methods for the treatment of the pediatric type III supracondylar humerus fractures. J Pediatr Orthop B. 2003 Sep; 12(5): 346-9.
Aronson DD, Prager BI. Supracondylar fractures of the humerus in children. A modified technique for closed pinning. Clin Orthop Relat Res. 1987 Jun; (219):174-84.
Mostafavi HR1, Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. Clin Orthop Relat Res. 2000 Jul; (376): 56-61.
Fowles JV, Kassab MT: Displaced supracondylar fractures of the elbow in children. A report on the fixation of extension and flexion fractures by two lateral percutaneous pins. J Bone Joint Surg Br. 1974 Aug; 56B (3):490-500.
Nacht JL, Ecker ML, Chung SM, Lotke PA, Das M. Supracondylar fractures of the humerus in children treated by closed reduction and percutaneous pinning. Clin Orthop Relat Res. 1983 Jul-Aug; (177): 203-9
Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am. 2001 May; 83-A (5):735-40.
Davis, Richard, T.; Gorczyca, John, T.; Pugh, Kevin: Supracondylar Humerus Fractures in Children: Comparison of Operative Treatment Methods. Clinical Orthopaedics and Related Research: 2000; 376: 49-55.
Zionts LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. J Bone Joint Surg Am. 1994 Feb; 76(2): 253-6.
French PR. Varus deformity of the elbow following supracondylar fractures of the humerus in children. Lancet. 1959 Sep 26; 2(7100): 439-41.
Madsen E. Supracondylar fractures of the humerus in children. J Bone Joint Surg Br. 1955 May; 37-B (2): 241-5.
Topping RE, Blanco JS, David TJ. Clinical evaluation of crossed-pin versus lateral-pin fixation in displaced supracondylar humerus fractures. J Pediatr Orthop. 1995 Jul-Aug; 15(4):435-9.
William J. Mitchell, MC; John P. Adams, M.D. Supracondylar Fractures of the Humerus in Children A Ten-Year Review JAMA. 1961; 175(7): 573-577. doi:10.1001/jama.1961.0304007003100
Wilkins KE: The operative management of supracondylar fractures. Orthop Clin North Am. 1990 Apr; 21(2): 269-89.
Solak S, Aydin E. Comparison of two percutaneous pinning methods for the treatment of the pediatric type III supracondylar humerus fractures. J Pediatr Orthop B. 2003 Sep; 12(5): 346-9.
Aronson DD, Prager BI. Supracondylar fractures of the humerus in children. A modified technique for closed pinning. Clin Orthop Relat Res. 1987 Jun; (219):174-84.
Mostafavi HR1, Spero C. Crossed pin fixation of displaced supracondylar humerus fractures in children. Clin Orthop Relat Res. 2000 Jul; (376): 56-61.
Fowles JV, Kassab MT: Displaced supracondylar fractures of the elbow in children. A report on the fixation of extension and flexion fractures by two lateral percutaneous pins. J Bone Joint Surg Br. 1974 Aug; 56B (3):490-500.
Nacht JL, Ecker ML, Chung SM, Lotke PA, Das M. Supracondylar fractures of the humerus in children treated by closed reduction and percutaneous pinning. Clin Orthop Relat Res. 1983 Jul-Aug; (177): 203-9
Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am. 2001 May; 83-A (5):735-40.
Davis, Richard, T.; Gorczyca, John, T.; Pugh, Kevin: Supracondylar Humerus Fractures in Children: Comparison of Operative Treatment Methods. Clinical Orthopaedics and Related Research: 2000; 376: 49-55.
Zionts LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. J Bone Joint Surg Am. 1994 Feb; 76(2): 253-6.
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2018-09-25
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1.
A Comparative Study of Crossed Pinning Versus Lateral Pinning by Percutaneous K-wire in Paediatric Supracondylar Fractures of Humerus. Int Jour of Biomed Res [Internet]. 2018 Sep. 25 [cited 2025 Mar. 12];9(9):325-9. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/4900