The fixation of the humeral,s supracondylare fractures in children by percutaneous pinning is considered a new and good principle in without the disadvantages that appear by treating it by open reduction and internal fixation . A prespective and pers
pective study was done for 48 kids whose old was between 2 – 14 year, those kids were admitted and treated surgically by these two methods ( pinning and ORIF ) In AL-ASSAD hospital in LATTAKIA in TISHREEN-UNIVERSITY in 2014 The ages of patients were between 2 – 14 , female ratio was ( 62.5% ) and male ( 37.5% ) the common reasons for these fractures were sportive and home accidents and the dominant upper limb was left . Fractures were isolate in 90% of cases and we noted 4 cases with accompanied and nondisplaced fractures in forearm and wrist that were treated conservatively . Pins and cast were removed in the four weeks . The more common complications were the secondary displacement , movement limitation and cubitus varus. The percutaneous pinning stills an easy way in understanding and application and gives good results for long period functionally and cosmetically , and this way has no important complications which can be avoided .
The study included 40 cases of supracondylar humeral fracture in children whose
attended al-Assad University Hospital in Lattakia between 2013 and 2014. Patients' ages
ranged between 2 and 13 years , the ratio of males/female was 3,4/1. Greatest ra
nge of
injury in left arm 77,5% . Closed reduction and percutaneous pinning was used in 33
patients and open reduction with cross-wiring in 7 patients .Postoperative complications
occurred in seven(17,5%) patients. They consisted in iatrogenic nerve injuries in five
(12,5%) patients ,one case of infection around the pins ,and one case of nonunion, All
recovered without sequels.
Satisfactory outcomes were noted after 5 months of physical therapy in 32 (97%)
patients in
the percutaneous pinning group,and5 (71,4%) patients in the open reduction with
cross-wiring group .
