Comparison of Two Methods of Percutaneous Pin Fixation in Displaced Supracondylar Fractures of the Humerus in Children
DOI:
https://doi.org/10.61581/mjsp.v2i1.73Keywords:
Supracondylar fracture, Pin fixation, Nerve injury, carrying angle loss, CractureAbstract
Objective: to compare the risk of nerve injury and stability provided by medial lateral and 2-lateral pin fixation in treatment of supracondylar fracture of humerus in children.
Methodology: Randomized Control Trial study was conducted in the department of orthopaedic surgery, Nishter Hospital Multan from February 2017 to February 2018. A total number of 180 patients included in this study and divided into two groups’ by lottery method. Variables assessed in this study were loss of motion, loss of angle and neurological injury. Data was analyzed using SPSS version 23. Pa values ? 0.05 was considered as significant.
Results: The mean carrying-angle loss (0), elbow extension loss (0), elbow flexion loss (0), Baumann angle loss (0) and MEE angle loss (0) of medial-lateral group was 3.59±1.71, 7.27±3.40, 9.68±1.69, 5.63±1.56 and 6.33±1.14 respectively. While, the mean carrying-angle loss (0), elbow extension loss (0), elbow flexion loss (0), Baumann angle loss (0) and MEE angle loss (0) of 2-lateral group was 3.97±2.01, 7.05±2.10, 10.58±2.86, 4.80±2.09 and 6.97±1.75 respectively. The differences were statistically insignificant.
Conclusion: Our results revealed that both techniques medial lateral and two lateral pin fixations are equally effective; there was no statistically significant difference in terms of stability. Radial and ulnar nerve injury incidence was also similar with statistically insignificant results.
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Copyright (c) 2021 Muhammad Mahmood Ahmad, Hafiz Umair Hussain, Muhammad Majid Raza, Saeed Ahmad, Aon Muzammil Iqbal, Umair Iqbal
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