orthopedics-osteoporosis-2018-scientifictracks

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Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 30
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
Background: Closed reduction and percutaneous pin fixation is considered
standard management for displaced supracondylar fractures of the humerus
in children. However, controversy exists regarding whether to use an isolated
lateral entry or a crossed medial and lateral pinning technique.
Objectives: To compare between the crossing wires fixation and two lateral
wires in management of the supracondylar fracture of the humerus in children.
Patients & Methods: Study population included all children with supracondylar
humerus fractures attending the emergency department in Suez Canal
University Hospitals and Ismailia General Hospitals in the period from Jan’
2016 to Sep’ 2016.
Results: The adequacy of the reduction postoperatively (stability of fixation)
was assessed according to Skagg’s criteria depending on changes in Bauman’s
angle. In crossing wires method, 85.8% of patients showed less than 6°
changes. However, in the lateral wires method, 42.9% of patients showed less
than 6° changes. There were significant difference between two groups (P
value=0.0353). There was no ulnar nerve injury in both groups. Clinically, there
were no significant differences between the two groups (P value=0.217).
Conclusion: The crossed pin configuration method provides better stability
than the lateral pin configuration method in management of supracondylar
fracture of the humerus in children and the risk of ulnar nerve injury can be
avoided by making a small incision over the medial epicondyle for placement
of the medial wire in all cases.
Biography
Mohamed Ahmed Hassan has completed his Masters’ Degree
in Orthopaedic Surgery from Suez Canal University. He is a
Specialist of Orthopaedic Surgery at the Ministry of Health.
He has spent 2 years of working as a Visitor Resident in
Orthopaedic Department, Suez Canal University hospitals and
3 years as Orthopaedic Resident at Ismailia General Hospitals,
Ministry of Health, Egypt. He has attended 30 training courses
in basic orthopaedic principles and different subspecialties of
orthopaedic surgery. He is a Bronze Member of AO foundation.
Comparison between crossing wires versus two lateral wires
in the management of displaced supracondylar fracture of the
humerus in children
M Ahmed Hassan 1, A AbdelKafy2 and H AbdelSadek Othman2
1Ministry of Health, Egypt
2Suez Canal University, Egypt
M Ahmed Hassan et al., J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-005