The patients were re-evaluated as outpatients at three weeks, six weeks and three months after the surgery.Results:No significant differences were found between the two groups with regard to base-line characteristics, withdrawals, complication rate and various outcome measures such as carrying angle, passive range of elbow motion, Flynn grading, Baumanns angle, change in the Baumann angle and loss of reduction grading.Conclusions:If a uniform standardized operative technique is followed in each method, then the result of both methods will be same in terms of safety and efficacy. Supracondylar humeral fractures account for up to 60 percent of pediatric elbow fractures 1. All the pinning was done according to a uniform standardized technique. draw a line down the anterior surface of the humerus. There are two useful techniques for identifying subtle or minimally displaced fractures: anterior humeral line. The mechanism leading to this fracture is most often a fall on the hand with fully extended elbow. The difficult fractures are those that arent displaced very much. Supracondylar humerus fractures are a common injury in children and account for approximately 15 of all pediatric fractures. This fracture pattern is fairly infrequent in adults but is most common in children. A displaced fracture of the distal humerus just above the condyles (supracondylar) is not difficult to spot. The fracture is generally transverse or oblique in type and occurs above the medial and lateral condyles and epicondyles of the humerus. And despite this and the numerous studies on this topic, only a few relate these injuries with outcomes and health-related quality of life. Eighty patients who satisfied the inclusion and exclusion criteria were enrolled in the study, with 40 patients in each group. A supracondylar humerus fracture is a fracture of the distal humerus slightly above where the elbow joint is situated. Supracondylar humeral fractures of the distal humerus are the commonest fracture around the pediatric elbow. There is little controversy that all closed Gartland type II and III fractures should have an attempt at closed reduction and pinning.Objective:To compare the efficacy of medial and lateral entry pinning with lateral entry pinning for percutaneous fixation of displaced (Gartland type II and III) extension type supracondylar fractures of the humerus in children.Methods:A prospective study conducted at a single centre from December 2008 to November 2011. Clinical Findings: Elbow pain, tenderness, swelling, decreased range of motion are standard findings Look for antecubital ecchymosis, skin puckering, forearm. The great majority of displaced fractures should be treated operatively. Background:Operative treatment of supracondylar fractures with reduction and percutaneous pinning is so effective and safe.
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