Mohammad Shabir, Muhammad Inam, Mohammad Arif.
Iatrogenic ulnar nerve injury after closed reduction and percutaneous cross pinning of paediatric supracondylar humeral fractures.
J Pak Orthop Assoc Jan ;23(3):100-4.

Objectives: The purpose of this study was to determine if there is an increased risk of iatrogenic nerve injury associated with the crossed pin configuration. Place and Duration of Study: Hayatabad Medical Cmplex Peshawar on from June 2007 to May 2011. Study Design: Prospective Study Patients and Methods: This prospective hospital based study is conducted in Orthopedic Department of Postgraduate Medical Institute Hayatabad Medical Complex Peshawar on 100 consecutive patients from June 2007 to May 2011. Four to twelve years of age and those patients presented within four days of injury were included in the study. Open fractures, fracture requiring open reduction, inability to perform neurological evaluation and nerve injury were excluded. Results: Age of patient was ranged from 4 to 12 years with mean age of 7.02 years. Male were 66 (66%) and female were 34 (34%). There were 35% Gartland type II and 65% Gartland Type III fracture. There were only 2 patients that had iatrogenic ulnar nerve injury. These two patients were followed up for six months. One had fully recovered in three months time but the other one was not recovered fully at six months Conclusion: Closed reduction and percutaneous cross pinning may cause iatrogenic ulnar nerve injury but it is not as significant as mentioned in literature.

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