Treatment Outcomes of Paediatric Supracondylar Type II Humerus Fracture: Plaster Cast versus Pinning

Akbari Agdam, Hossein; Gholamrezaei, Mohammadreza; Rouhi, Paria; Farrokhzad, Amirhosein

doi:10.22034/ijos.2022.303202.1012

Treatment Outcomes of Paediatric Supracondylar Type II Humerus Fracture: Plaster Cast versus Pinning

Document Type : Original Article

Authors

Hossein Akbari Agdam ¹

Mohammadreza gholamrezaei ²

Paria Rouhi ³

Amirhosein Farrokhzad ⁴

¹ Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

² Medical Student, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

³ Medical Doctor, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

⁴ Department of Orthopaedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

https://doi.org/10.22034/ijos.2022.303202.1012

Abstract

Background: There is increasing trend of orthopaedic surgeons for closed pinning of type II supracondylar fractures. In this study, the result of treatment of closed reduction and casting in comparison with pinning is evaluated.
Method: In a retrospective cross-sectional study, 39 children aged 3-11 years with Gartland type II supracondylar fracture who were treated with closed reduction and pinning were compared with closed reduction and casting by using demographic information and measurement of Baumann’s angle, and in hospital stay, by easy non-random sampling method and in 4 weeks follow-up.
Result: By using the independent sample T-Test, there was a significant difference between the time duration of hospital stay and type of treatment and it was significantly lower in the group who had undergone treatment with closed reduction and casting [p value < 0.005, Mean, SD: 37.43 +- 6.42]. There was no significant difference between the Baumann’s Angle in the two groups.
Conclusion: No significant difference in the radiographic outcome of the two types of treatment was observed after four weeks of follow-up.

Keywords

Humeral fractures

Fracture fixation Internal

Closed fracture reduction

Treatment outcome