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Research Article

JCR. 2020; 7(8): 1081-1084


THE FUNCTIONAL OUTCOME OF LATERAL KIRSCHNER WIRES VS CROSSED KIRSCHNER WIRES IN FIXATION OF PAEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES (EXTENSION TYPE)

Ankush Mohabey, Suvarna Gupta, Vasant Gawande, Kunal Saoji.

Abstract
Background:-The normal treatment for displaced supra condylar fractures is closed reduction and percutaneous pinning with Kirschner wires, though there are still some disputes about the positioning of the pins. A cross K-wire technique is known being physically more effective than a lateral k-wire alone, while using the latter one can more easily harm the ulnar nerve. In light of this, we agreed to research the functional outcome by comparing the two methods by percutaneous pinning in children's supracondylar fractures. Method:-55 children were subjected to k-wire fixation during the period of August 2018 to March 2020. They were divided into 2 groups undergoing lateral k-wire pinning and cross k-wire pinning. Patients were followed up regularly at 2 wks, 6 wks and 12 wks post operatively and were assessed radio logically for reduction and union, and clinically for movement and carrying angle by using Flynn’s & Skagg’s criteria. Results:-27 patients (21 males and 6 females) and 28 patients (17 males and 11 females) were in Group A& B respectively. In group A there was no operative ulnar nerve damage. In Group A, the average Baumann loss of angle, Capitohumeral loss of angleand carrying loss of angle were 5.4, 6.2 and 3.7 degrees, respectively and maximum elbow movement was 129 degrees. Excellent results in 23 patients, good in 3 and fair in 1 patients in Group A were shown by Flynn’s grading. Skagg's criteria were adequate in Group A in 25 patients. Among group B, 4 children experienced postoperative ulnar ulnar damage. For Group B, the mean Baumann loss of angle, Capitohumeral loss of angle and carrying loss of angle were 5.8, 6.40 and 3.57 degrees respectively. Maximum elbow movement was 127 degree. Excellent results in 21 patients, good in 5 patients and fair in 2 in Group B patients were shown by the Flynn’s grading. Skagg’s criteria were satisfactory in 24 patients in Group B. Conclusion:- Both constructs or methods of fixation lateral k-wire and cross k-wire were comparable to each other in terms of results.

Key words: supracondylar fracture, k-wire, Baumaan’s angle, Flynn’s criteria



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