Is prone position ideal for manipulation & pinning of displaced pediatric supracondylar fractures of humerus? A randomized control trial
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:95
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Saravanamurthy G, Venkatadass, Rajasekaran S
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Background: Closed reduction and percutaneous pin fixation is the standard of care for displaced supracondylar fractures of humerus in children. Though it is routinely done in supine position, some authors recommend prone position to be advantageous as it aids in gravity reduction and avoids elbow hyperflexion. This study was conducted to compare the ease of manipulation and pinning in supine versus prone position and to compare the clinical and radiological outcomes in both.
Methods: Fifty-two children with acute, displaced supracondylar humerus fractures without vascular injury were included in the study. They were grouped into prone (n = 26) and supine (n = 26) based on computer generated block randomization. The duration of procedure (DoP), number of radiation exposures (NoR), attempts at closed reduction (NCR) and attempts at placing the pins (NP) were analyzed. Functional & Radiological outcomes were assessed for a minimum follow-up of one year.
Results: There was no significant difference between the two groups with respect to the variables and final clinical & radiological outcome. One patient in prone group had cubitus varus of 8 degrees. Functionally, two in the supine group and three in prone group had poor outcomes.
Conclusions: There is no significant difference in the ease of reduction and pinning between supine and prone positions. Grossly displaced fractures with skin puckering are difficult to manipulate in prone position. Supine position is ideal for closed reduction and pinning of all patterns of type III supracondylar fractures. Level of Evidence: A prospective randomized study (Level I)
|How to Cite this Abstract|
|Saravanamurthy G, Venkatadass, Rajasekaran S . Is prone position ideal for manipulation & pinning of displaced pediatric supracondylar fractures of humerus? A randomized control trial. International Journal of Conference Proceedings 2015;(2015):95|