Comparison of Lateral and Cross Pinning Results in Pediatric Supracondylar Humerus Fractures

Authors : Mehmet Ekici, Muhammed Melez, Fırat Ozan

Pages : 214-220

Doi:10.52827/hititmedj.1572482

View : 40 | Download : 42

Publication Date : 2025-06-23

Article Type : Research Paper

Abstract :Objective: Supracondylar humerus fractures (SHF) occur in the immature skeleton. They account for 60-65% of elbow fractures in children, with the most common age group being 4-7 years. The aim of this study is to compare the radiological and functional outcomes of lateral and cross pinning methods used in the closed surgery of pediatric SHF. Material and Method: This study was conducted on 46 patients with Gartland type 2 and 3 fractures. Group 1 who underwent only lateral pinning, and Group 2 patients who underwent both lateral and medial pinning. Anteroposterior and lateral elbow radiographs were taken postoperatively, at 3 weeks, and at 12 weeks, and radiological angles were measured and recorded. Elbow joint ROM was measured one year after the operation. Results: The mean age of the patients was 6.28 ± 0.44 years. The decrease in Baumann angle was 2.61 ± 0.36° in Group 1 and 2.64 ± 0.38° in Group 2. The decrease in carrying angle was 0.80 ± 0.14° in Group 1 and 1.36 ± 0.26° in Group 2. The increase in The lateral capitellohumeral angle (LCHA) was 5 ± 0.74° in Group 1 and 6.72 ± 0.93° in Group 2. The elbow joint range of motion (ROM) was 132.85 ± 0.76° in Group 1 and 132 ± 1.01° in Group 2. Based on the measurements, there was no statistically significant difference in radiological and clinical outcomes between lateral and cross pin configurations. Conclusion: Considering the possibility of iatrogenic ulnar nerve injury, lateral pinning may be considered a safer method.
Keywords : Çapraz pinleme, pediatrik travma, perkütan pinleme, suprakondiler humerus

ORIGINAL ARTICLE URL