Lateral pinning versus others procedures in the treatment of supracondylar humerus fractures in children


Published online: Dec 27 2016

Ninoslav BEGOVIC, Zoran PAUNOVIC, Zarko DJURASKOVIC, Ljubomir LAZOVIC, Tanja MIJOVIC, Srdjan BABIC

from the department of pediatric orthopedics and bone and joint trauma surgery, Mother and Child Healthcare Institute, Radoja Dakica 6-8, 11070 Belgrade, Serbia

Abstract

We compared results of lateral pinning procedure with crossed pinning, closed reduction, and open reduction in a retrospective review of 184 patients with displaced supracondylar humeral fractures. All patients had a minimum of 2 years follow-up (range 36-90 months). Patients were separated into 4 groups. Success was estimated by Flynn's criteria. We compared success of the lateral pinning to others procedures. Incidence of nerve palsy was recorded and compared. Esthetic effect of lateral pinning is significantly better than closed reduction (p=0.0007), but no significant difference was found comparing with cross pinning and open reduction. Elbow function was similar. Cross pinning procedure was followed with ulnar nerve palsy in ten patients (20.8%). There was 1 case (5%) of combined nerve palsy including ulnar, median and radial nerve after open reduction procedure. Lateral pinning is safe and effective method of therapy for Gartland type II and III supracondylar humeral fractures.