Percutaneous pinning vs open reduction K wire fixation in Gartland Type III supracondylar humerus fracture in children at Gambat Hospital, Sindh, Pakistan

Sajjad Hussain Bhatti; Muhammad Kashif Abbasi; Agha Syed Ali Haider Naqvi; Aamir Shahzad; Syed Burhan Haider; Raja

Abstract
Objective: To determine the effectiveness of percutaneous pinning vs open reduction K wire fixation in Gartland type III supracondylar humerus fracture in children.
Methodology: This study was randomized control trial conducted at department of orthopedic, Pir Abdul Qadir Jeelani Institute of Medical Sciences, Gambat, Khairpur, Sindh. Forty patients were included in each percutaneous pinning group and open reduction group. Both groups were evaluated for improvement in function and radiologically for fracture union.
Results: In percutaneous pinning group, excellent functional outcome was observed in 32 (80%) children, good functional outcome in 6 (15%) while in 2 (5%) children fair functional outcome were observed. In open reduction group, excellent functional outcome was observed in 26 (65%) children, good functional outcome in 9 (22.5%), fair in 3 (7.5%), while in 2 (5%) children poor functional outcome were observed (p>0.05).
Conclusion: Percutaneous pinning should be preferred as it is more effective and safe procedure as compared to open reduction with K wire fixation for the therapy of Gartland type III supracondyler fractures of humerus in children. It has minimal visible surgical scars and other complications.

Key words: Percutaneous pinning, open reduction, K wire fixation.

ABOUT JOURNAL About Publisher Contact Us Editorial & Peer Review Process	POLICIES Privacy Policy Editorial Policy Author's Rights and Obligations Conflict of Interest Policy Plagiarism Policy Advertising Policy	STATEMENTS Terms of Use Author's Rights and Obligations Publication Ethics and Publication Malpractice Statement Protection of Research Participants (Statement On Human And Animal Rights) License Information

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Indexed in Scopus, Web of Science, WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED and Tehqeeqat

How to cite this article

	Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements