Background: Supracondylar humerus fractures are one of the commonest
injuries in pediatric, resulting mostly from fall on outstretched
hand. It is associated with potentially serious injuries. Most of Gartland
type II and all type III injuries require closed reduction, pinning and
long arm cast for three weeks. There is an ongoing debate on the optimal
pinning configuration.
Objectives: the main objectives of the study are to determine the radiological
outcome, functional outcome and the complications associated
with lateral pinning of supracondylar humerus fractures in paediatrics.
Materials and methodology: the study included 31paediatric patients
with supracondylar humerus fracture. All of them underwent closed
reduction percutaneous pinning with two lateral k wires. Surgeries
took place in deferent centres in Khartoum state. Data sheet was used
to collect data which included humerocapitellar line, Baumann angle,
Flynn criteria for function and post operative complications.
Results: the radiological outcome was good. Humerocapitellar alignment
was normal in (87%) and lost in (13%). Baumann angle was
normal in(81%) and abnormal in (19%). The functional outcome was
excellent in (87%) and good in (13%) for both elbow range of motion
and carrying angle. (3%) developed minor infection. None of the
patients have experienced neurovascular injury or malunion.
Conclusion: the lateral pinning emerged to be a good option for
paediatric supracondylar humerus fracture providing sufficient stability
and low risk of iatrogenic neurovascular injuries and malunion.