Comparison of the Functional Outcomes of Close Reduction Percutaneous Pinning Versus Open Reduction Internal Fixation with Pinningin Children with Gartland Type III Supracondylar Fracture of Humerus

Abstract

Objective: To compare the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinning in children with Gartland type-III supracondylar fracture of the humerus.
 Study Design: Quasi-experimental study
 Place and Duration of the Study: Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Center, Karachi Pakistan,from Sep 2019 to Aug 2020.
 Methodology: A total of 98 patients aged of 2 to 15 years, of either gender, with Gartland type III supracondylar fracture were included in the study. By blocked randomization, patients were randomly assigned into two groups (49 each), Group-A (CRPP) and Group-B (ORIF). All of the patients were prospectively followed up after six months, assessed for the functional outcome according to Flynn's criteria, and classified as satisfactory and unsatisfactory based on functional and cosmetic factors.
 Results: The mean age in our study population was 8.2±3.4 years and 7.1±2.3 years in ORIF and CRPP Groups, respectively.The right arm was shown to be more commonly involved than the left arm in our population demographics, and RTA was determined to be the most frequent cause of supracondylar fractures. Functional outcomes were satisfactory for 68 individuals (69.4%), out of which 40(40.8%) belonged to the ORIF Group, and 28(28.6%) belonged to the CRPP Group, respectively.
 Conclusion: It is to be concluded that a significant difference was noted in terms of satisfactory outcomes between CRPP versus ORIF in the treatment of supracondylar fracture of humerus in children and that ORIF can be considered a valid firstline treatment for Type III supracondylar humer........

A Systemic Review of Adolescent Supracondylar Fractures: What Is the Surgical Treatment, Open Reduction With Internal Fixation (ORIF) or Closed Reduction With Percutaneous Pinning (CRPP)?

“…Neither method demonstrated a significant advantage over the other [3]. However, studies showed significantly better outcomes for children with Gartland type 3 SCH fractures treated with ORIF, reinforcing ORIF's superiority over CRPP, albeit these studies had limited sample sizes [5,6].…”