Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 25749
COMPARATIVE STUDY OF PLASTER CAST VS PINNING FOR TREATMENT OF
SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN
Abdul Latif QURESHI
Isra University, Hyderabad (PAKISTAN)
Supracondylar fracture of humerus is the most common elbow injury in children. Total
40 cases of these fractures were included in this comparative study. 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 the 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 of follow up. Their mean values were compared,
analyzed in two groups by applying student T-test and 100 points score method.
Statistically significant difference was observed by comparing the mean values of
Metaphyseal-diaphyseal angles in both groups at immediate post operative and 1st
week of 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
palsy. 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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