TY - JOUR AU - Anwar, Wasim AU - Rehman, Noor AU - Iqbal, Malik Javed AU - Khan, Muhammad Arif PY - 2011/12/05 Y2 - 2024/03/28 TI - COMPARISON OF THE TWO METHODS OF PERCUTANEOUS K – WIRE FIXATION IN DISPLACED SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 25 IS - 4 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/1151 SP - AB - <p><strong><em><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;">Objectives: </span></span></em></strong><em><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">To compare the effectiveness and safety of fractures treated by percutaneous medial–lateral</span></span></em></p><em><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><p>cross K-wire fixation and 2–lateral K-wire fixation.</p></span></span><strong></strong><p><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><strong>Methodology: </strong></span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">Randomized controlled trial was conducted from January 2008 to July 2009 in Orthopedics</span></span></p><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><p>unit of Hayatabad Medical Complex Peshawar. A total of 50 patients of displaced supracondylar fracture</p><p>of humerus presenting between age 1-12 years were randomly allocated in two groups of 25 patients in</p><p>each group and were subjected to medial lateral cross K wire fixation and 2 lateral K wire fixation.</p></span></span><strong></strong><p><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><strong>Results: </strong></span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">Mean age of patients was 7.02 ± 2.25 years.72% of patients with carrying-angle loss was</span></span></p><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><p>excellent results and 28% good results. The mean loss of elbow flexion and loss of elbow extension were</p></span></span><p><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">8.38</span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: xx-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: xx-small;">o </span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">± 3.10 and 7.26</span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: xx-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: xx-small;">o </span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">± 3.22 respectively. In Patients with med-lat cross K-wire fixation group 72 % were</span></span></p><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><p>excellent results and 28% good results, while similar results were found in 2-lateral K- wire fixation group.</p><p>The 4% iatrogenic ulnar nerve injuries occurred with the med-lat cross K-wire fixation group, while no</p><p>neurological injury occurred with 2 lateral K wire fixation with p value of 0.312. Hence, there was no</p><p>significant difference in the incidence of ulnar nerve injury between the two groups of patients.</p></span></span><strong></strong><p><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, BoldItalic; font-size: x-small;"><strong>Conclusion: </strong></span></span><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;">Both techniques appear to be effective, 2 lateral K-wire fixation is as effective in term of</span></span></p><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT, Italic; font-size: x-small;"><p>stability as medial-lateral cross K- wire fixation but with less chance of iatrogenic ulnar nerve injury.</p></span></span></em> ER -