Outcomes of Closed Reduction Percutaneous Pinning in Paediatric Supracondylar Humerus Fractures Using “Arm Board” Technique “
Volume 7 | Issue 3 | September-December 2021 | Page: 02-07 | Sandeep Patwardhan, Bismaya Sahoo, Vivek Sodhai, Parag Sancheti, Ashok Shyam, Mrunal Kodape
DOI-10.13107/ijpo.2021.v07i03.114
Authors: Sandeep Patwardhan MS Ortho. [1], Bismaya Sahoo MS Ortho. [1], Vivek Sodhai MS Ortho. [1], Parag Sancheti MS Ortho. [1], Ashok Shyam MS Ortho. [1, 2], Mrunal Kodape D. Ortho. [1]
[1] Department of Orthopaedic, Sancheti Institute Of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
[2] Research department, Indian Orthopaedic Research Group, Thane [W], Maharashtra, India.
Address of Correspondence
Dr Bismaya Sahoo
Department of Orthopaedic, Sancheti Institute Of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: bismay.ltmc.bs@gmail.com
Abstract
Introduction: Closed reduction percutaneous pinning (CRPP) is the standard treatment for displaced supracondylar fractures of humerus (SCH) in children. The purpose of our study is to analyze the functional outcomes of percutaneous Kirschner wire fixation of SCH fractures in paediatric population using a novel “arm board” technique.
Materials and Methods: A prospective study was carried out between October 2015 to October 2017 which included 71 patients of SCH fracture. Outcome evaluation was performed using Flynn’s score and Skagg’s grading. Age, gender, type of fracture, position of k-wires and time to surgery were also recorded. All patients were followed up for a minimum period of one year
Results: 90% were graded as excellent, 8.5% good, 1.5% fair according to Flynn’s score. By Skagg’s grading there was no loss of reduction in any patient. There were no significant differences in the outcomes based on age, gender, type of fracture, position of k-wires and time to surgery.
Conclusion: Good functional outcomes can be achieved with the “arm board” technique irrespective of age, gender, type of fracture, duration between injury and procedure if satisfactory reduction of the fracture can be achieved. Our technique uses a simple, locally fabricated radiolucent arm board that can be adapted to any standard operating table. It is a novel and innovative method that is safe, effective and can be easily replicated by orthopedic surgeons managing paediatric fractures.
Level of evidence: Therapeutic, Level III
Keywords: “arm board” technique, closed reduction percutaneous pinning, Paediatric; Supracondylar humerus fracture
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| How to Cite this Article: Patwardhan S, Sahoo B, Sodhai V, Sancheti P, Shyam A, Kodape M | Outcomes of Closed Reduction Percutaneous Pinning in Paediatric Supracondylar Humerus Fractures using “Arm Board” Technique ” | International Journal of Paediatric Orthopaedics | September- December 2021; 7(3): 02-07. |
