Nazar Hussain Shah, Asadullah Makhdoom, Muhammad Ayoob Laghari, Hameedullah Khan Kakar, Pir Abdul Latif Qureshi, Khaleeque Ahmed Siddiqui.
Comparative study of plaster cast vs pinning for treatment of supracondylar fractures of humerus in children.
J Pak Orthop Assoc Jan ;22(1):67-74.

OBJECTIVE: To compare anatomical and functional results of plaster cast and pinning method of treatment for supracondylar fractures of humerus in children. To determine better method of treatment with minimal complications. STUDY DESIGN: A prospective descriptive study. PLACE AND DURATION OF STUDY: At Liaquat University of Health Sciences. From May 2005 to April 2007. SUBJECT AND METHODS: With Wilkins classification type II A, II B and III close supracondylar fractures of humerus. Total number of patients was 40 and the range of age was 2-12 years. Fractures of less than one week old. Twenty patients in group “A” treated with conservative method like (POP Cast) and 20 patients in group “B” treated by percutaneous pinning method between May 2005 to April 2007. The Metaphyseal-diaphyseal angle of both groups in the anteroposterior radiographs was measured at the same day, 1st , 2nd , 3rd , 6th , 12th , 24th week and range of motion at the elbow joint was measured at 3rd , 4th , 6th , 8th , 12th , 16th , 20th , and 24th week follow up. Their mean values were compared, analyzed in two groups by applying student T-test and 100 points scored method. RESULTS: Statistically significant difference was observed by comparing the mean values of methphyseal-diaphyseal angles in both groups at immediate post operative and 1st week follow up (P-Value< 0.05). Final score at 24th week of follow up in-group “A” was Fair (63%), While in-group “B” was excellent (88%). In-group “A” (treated with POP Cast) 03 (15%) patients developed posterior displacement in the 1st week of follow up and 01 (5%) patient developed anterior bone block in the 3rd week of follow up. In-group “B” (treated by pinning) 01 (5%) patient developed transient radial nerve plasty. CONCLUSION: Keeping in view the above-mentioned findings, conclusion of this study is that percutaneous pinning is better method of treatment for supracondylar fractures of humerus in children for Wilkins type IIA, IIB & III.

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