Abstract

Supracondylar fracture of the humerus are the most common fracture in children between the age of 5-7 years and the most common pediatric fracture requiring surgery supracondylar fracture may have significant complication including nerve injury, vascular injury and compartment syndrome Aims and Objectives: To find mechanical stability in cross and lateral Kirshner wire fixation. To find radiological outcome in cross and lateral Kirshner wire fixation. To study iatrogenic ulnar nerve injury in cross Kirshner wire fixation Materials and Methods: This study was conducted in J.A.H. group of hospital attached to Gajra Raja Medical College Gwalior between October 2019 to August 2021. During this period 40 cases of displaced supracondylar fractures of humerus in children were treated with cross pinning and lateral pinning with Kirschner wires according to odd and even randomisation. The total study population comprised of 40 children. Results: Patients with supracondylar humerus fracture treated with 2 cross K wire and 2 lateral K wire groups compared on the basis of carring angle, Baumann angle, lateral rotation percentage and ulnar nerve palsy. Among two groups the final outcome was excellent among 19 cases and 16 cases in 2 cross K wire and 2 lateral K wire group respectively, one case and 3 cases had good outcome respectively and only one case among lateral K wire group had fair outcome but the result is not statistically significant. Conclusion: This study, 2 cross k-wire as well as 2 lateral k-wire fixation [divergent] provided equally functional and radiological outcomes as well as equal mechanical stability as compared to medial-lateral pinning without risk of ulner nerve injury in most of the patients, indicating that lateral fixation[divergent] method also provide equally functional and radiological outcome and equal mechanical stability as compared to medial-lateral pinning without risk of ulner nerve injury.

Description