A Comparative Study of Outcomes of Percutaneous Crossed vs Lateral Divergent Pinning in the Treatment of Displaced (Grade - 3) Supracondylar Fractures of Humerus in Children

Patel, Nirav; Patil, Paresh; Gaonkar, Kiran; Patil, Pravin P.; Kulkarni, Himanshu G; Gupta, Ketan; Shaha, Mandar S.; Desai, Nagesh R.

doi:10.18410/jebmh/2015/113

Cited by 1 publication

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References 9 publications

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“…The mean age was 5.87, ranging from 35 d to 13 years, with a peak incidence of 5-7 years. This result is comparable to the series done by Patel et al [ 17 ], where they reported a peak incidence in the 6-8-year-age group with an average age of 7.48 years. Also, male predominance was noted in Patel et al [ 17 ], Wilkins et al [ 18 ], and Solak et al [ 19 ] series.…”

Section: Discussionsupporting

confidence: 90%

“…This result is comparable to the series done by Patel et al [ 17 ], where they reported a peak incidence in the 6-8-year-age group with an average age of 7.48 years. Also, male predominance was noted in Patel et al [ 17 ], Wilkins et al [ 18 ], and Solak et al [ 19 ] series. Most clinical and radiological studies used Baumann angle, Flynn grade, and fracture complications to assess clinical outcomes[ 20 ].…”

Section: Discussionsupporting

confidence: 90%

“…Patel et al [ 17 ] also used MEPS for comparing lateral and crossed pinning technique outcomes. For the crossed pinning group, they reported that 90% of the patients had excellent outcomes, 10% had good outcomes, and 0% had poor outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Functional and radiological outcomes of different pin configuration for displaced pediatric supracondylar humeral fracture: A retrospective cohort study

Radaideh¹,

Rusan²,

Obeidat³

et al. 2022

WJO

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BACKGROUND The most widely accepted treatment for pediatric supracondylar humeral fracture is closed reduction and percutaneous pinning (CRPP). However, there is debate regarding the technique that is utilized, whether crossed or lateral pinning, and the number of pins used. AIM To compare the functional and radiological outcomes of lateral and cross pinning in the management of humeral supracondylar fracture. METHODS A retrospective analysis was performed on 101 patients who were surgically managed by either one of the CRPP techniques from 2015 to 2019. Several clinical parameters were taken into account, including pre- and post-intervention Baumann angle, as well as scores for pain, range of motion, function, and stability. Statistical analysis was performed to study the outcomes of the utilized techniques. RESULTS Amongst our study sample, which included 63 males and 38 females with a mean age of 5.87 years, about one-third of the patients underwent crossed pinning fixation configuration and the remaining two-thirds were managed by lateral pinning configuration. Similar results were obtained in the two groups with no statistical difference regarding Mayo elbow performance scores (MEPS) and Baumann angle. The mean MEPS in the lateral and crossed pinning groups were 93.68 + 8.59 and 93.62 + 9.05, respectively. The mean Baumann angle was 72.5° + 6.46 in the lateral group and 72.3° + 4.70 in the crossed-pinning group ( P = 0.878). CONCLUSION Both lateral pinning and crossed pinning fixation configuration for displaced pediatric supracondylar humeral fractures provide similar functional and radiological outcomes.

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