9/14/2023 0 Comments Crppf supracondylar fracture![]() ![]() Results: Medial-lateral pinning has shown to have better outcomes than the lateral only pin construct in terms of Flynn’s criteria as well as change in Baumann’s angle.Ĭonclusion: With meticulous placement of medial pin medial-lateral pinning can be used safely in management of type III supracondylar fractures with better stability and better functional and cosmetic outcome as well. Flynn’s criteria are used for comparing and deducing our results. Baumann’s angle recordings done at post op. Material and Methods: Prospective study done in Department of Orthopaedics, Government Medical College and Hospital, Jammu from January 2019 to December 2019. Purpose: To compare methods of fixation with regards to maintenance of reduction, neuropathy, functional and radiological outcome and to assess the role of medial pin in management of supracondylar fractures. However, if the fracture requires third pin for adequate stability, then the dilemma regarding the positioning of third wire occurs, with both methods having their pros and cons. Closed reduction with percutaneous pinning (CRPP) with two lateral pins is quite effective technique for management of majority of supracondylar fractures requiring fixation. Closed reduction and percutaneous Kirschner wire (pin) fixation is the standard method of managing displaced Gartland Type III supracondylar humerus fractures. Medical College, Jammu, Jammu and Kashmir, Indiaīaumann’s angle, Closed reduction, Flynn’s criteria, Gartland’s Type III supracondylar humerus fracture Abstractīackground: Supracondylar fracture of distal humerus is the most common paediatric fracture. Lecturer, Department of Orthopaedics, Govt. Medical College, Jammu, Jammu and Kashmir, India Professor & Head, Department of Orthopaedics, Govt. The fentanyl consumption was higher intraoperatively and rescue analgesic doses were more in group I.Ĭonclusion: USG guided brachial plexus block is an excellent and effective means for analgesia in CRPP for supracondylar fracture with lower intraoperative Opioid consumption and better postoperative analgesia, lower pain scores and Opioid consumption in first 24 hour post operative period.Resident, Department of Orthopaedics, Govt. Duration of analgesia was significantly higher (746.6±40.2 min) and mean pain scores lower in first 24 hour. ![]() The incidence of PONV was 24% (group I) and 16% (GroupII). Time to first dose of analgesia after surgery in the group I was 54.8±5.4 min and 746.6±40.2 min (p<0.001). Results: Demographic data were similar in both groups (I and II). We studied whether such parameters are correlated with mid-term patient-reported outcome (PRO) scores in pediatric patients. Unicortical pins are a common source of failed fixation in CRPP of SCH when pins are in olecranon fossa, elbow cannot fully extend - this is not a problem 2. supracondylar fracture is present as these can be confused with each other. Management Of An Isolated Supracondylar Humerus Fracture Original Updated. critical to determine if lateral condyle vs. Methods: A total of 50 paediatric patients were included who were to undergo CRPP and divided into two groups Group I- General anaesthesia alone (n = 25), Group II- General anaesthesia with USG guided supraclavicular brachial plexus block studied for the intraoperative opioid consumption as well as postoperative analgesia quality, duration and Opioid consumption. Radiographic parameters are commonly used to determine the need for surgical supracondylar humeral (SCH) fracture reduction and the postoperative quality of reduction. CRPP Admit For Observation And CRPP In AM Caregiver Initiated Protocol Type I Type II Type III Discharge Home When Discharge Criteria Met3 Admit For Observation If Appropriate. Regional anesthesia may represent one of the best solutions for intraoperative and postoperative paediatric pain management however, due to lack of proficiency and the increased risk of complications in children and difficulty in obtaining cooperation compared to adults, it is not the method of choice for most of the anesthesiologists in children. Background: Supracondylar fracture of the humerus is one of the commonly encountered injuries in paediatric age group accounting for 16% of all paediatric fractures and 60% of all paediatric elbow fractures, classically occurring as a result of fall on an outstretched hand. ![]()
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