Shoaib Muhammad, Sultan Shahid, Sahibzada Sohail Ahmed, Ali Azmat
Orthopedics Department, Ayub Teaching Hospital, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2004 Oct-Dec;16(4):48-50.
Supracondylar fracture of humerus is the most common fracture in first decade of life. There are various treatment modalities for this fracture i.e closed reduction and casting, open reduction and internal fixation and percutaneous pinning. Study was conducted to know the outcome of Percutaneous Pinning in the management of displaced supracondylar fracture of humerus in children.
This study was conducted at orthopedic unit of Khyber Teaching Hospital Peshawar from January 1996 to December 2000. Twenty children of 3-12 years age with displaced supracondylar fracture (Gartland type II & III) of humerus were included. Outcome measures were according to Flynn criteria i.e loss of elbow motion & carrying angle.
The children presenting were 14 male (70%) and 6 females (30%). The involved side was left in fifteen(75%) and right in five(25%) of patients. Nineteen patients (95%) had extension type & one patient (5%) had flexion type of fracture. Gartland type II were six (30%) & type III were fourteen (70%). Our result showed excellent outcome in thirteen (65%), good outcome in four (20 %) and poor outcome in three (15 %) patients.
Percutaneous pinning is safe, cost effective, time saving and provides greater skeletal stability with excellent results.
肱骨髁上骨折是儿童期最常见的骨折。该骨折有多种治疗方式，即闭合复位石膏固定、切开复位内固定和经皮穿针固定。本研究旨在了解经皮穿针固定治疗儿童移位性肱骨髁上骨折的效果。
本研究于1996年1月至2000年12月在白沙瓦开伯尔教学医院骨科进行。纳入20例3 - 12岁肱骨移位性髁上骨折（Gartland II型和III型）患儿。根据弗林标准进行疗效评估，即肘关节活动度及提携角的丧失情况。
患儿中男性14例（70%），女性6例（30%）。受累侧为左侧的患者有15例（75%），右侧的有5例（25%）。19例（95%）为伸展型骨折，1例（5%）为屈曲型骨折。Gartland II型6例（30%），III型14例（70%）。结果显示，13例（65%）患者疗效极佳，4例（20%）患者疗效良好，3例（15%）患者疗效不佳。
经皮穿针固定安全、经济、省时，能提供更好的骨骼稳定性，效果良好。
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