Objective: To explore the safety and effectiveness of the percutaneous pinning technique in the management of Gartland type-II and III supracondylar humerus fractures.
Methods: This study was carried out during January 2012 to March 2013. 30 children with age range 5-12 years with supracondylar fracture (Gartland type II & III) were included while others were excluded. Closed reduction and percutaneous pinning were performed after taking informed consent. Outcomes were recorded according to Flynns criteria, that is loss of elbow motion & carrying angle.
Results: There were 21 (70%) males and 9 (30%) females in the current study. 18 (60%) patients were having right side affected while 12 (40%) had left side. The mean age of study subjects was 8.07+ 2.033 years. The distribution of Gartland Type-III and II fractures was 19 (63.33%) and 11 (36.66%) respectively. Hospital stay time was 6-28 hours with most of the patients discharged on the same postoperative day. Removal of Posterior slab and pin was carried out after 2-4 weeks and 3-4 weeks respectively. Flynns criteria showed 20 (66.66%), 8 (26.66%), 2 (6.66%) excellent, good and fair results respectively. Similarly Flynns criteria for assessing loss of range of motion, 17 (56.66%), 9 (30%), 4 (13.33%) patients had excellent, good and fair outcomes respectively. No neurovascular injury was observed during operation as well as postoperatively.
Conclusion: Percutaneous pinning is an effective and safe technique in Gartland Type-II & III Supracondylar fractures in children.
Gartland fractures;Flynns criteria;percutaneous pinning