Outcome of Supracondylar Fractures of Humerus in children treated with Dorgan’s Surgical Technique

Authors

  • Ihsanullah Medical Officer, District Headquarter Hospital Daggar Bunir Khyber Pakhtunkhwa
  • Muhammad Inam Assistant Professor, Associate Professor, Professor Medical Teaching Institute Lady Reading Hospital Peshawar Khyber Pakhtunkhwa
  • Khalid Medical Officer, District Headquarter Hospital Daggar Bunir Khyber Pakhtunkhwa
  • Muhammad Shabir Associate Professor Medical Teaching Institute Lady Reading Hospital Peshawar Khyber Pakhtunkhwa
  • Mian Amjad Ali Professor Medical Teaching Institute Lady Reading Hospital Peshawar Khyber Pakhtunkhwa

Keywords:

Dorgan’s technique, Flynn’s criteria, Supracondylar fracture, Ulnar nerve

Abstract

Objective: To determine the functional and radiological outcome of supracondylar fractures humerus in children treated with Dorgan’s lateral cross pinning technique.
Methods: This descriptive study was carried out at Orthopaedic division Lady Reading Hospital Peshawar and Rahman medical and surgical center Buner Khyber Pakhtunkhwa Pakistan from 2nd June 2017 to 20th June 2019. All children with supracondylar fracture humerus meeting the inclusion criteria were fixed with Dorgan’s lateral k wires stabilization technique. Post operative outcome was assessed with X rays for union/malunion and functionally with Flynn’s criteria and graded as excellent, good, fair and poor.
Results: A total of 30 children with mean age 4.90 ± 2.48 years were included in our study. Boys were 20(66.7%) and girls 10(33.3%). There were 11 (36.7%) Gartland type II and 19 (63.3%) Gartland type III fractures.Post operatively radiological union was achieved in all patients. Excellent results were achieved in 22(73.3%), good in 5(16.6%) and fair in 3(10%) patients. No ulnar nerve or radial nerve injury was noted.
Conclusion: Excellent and good functional and radiological results were achieved with Dorgan’s lateral cross pinning technique. We recommend this technique as first line treatment option to stabilize supracondylar humerus fractures in children.

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Published

2020-02-17

How to Cite

Ihsanullah, Muhammad Inam, Khalid, Muhammad Shabir, & Mian Amjad Ali. (2020). Outcome of Supracondylar Fractures of Humerus in children treated with Dorgan’s Surgical Technique. Journal of Pakistan Orthopaedic Association, 31(4), 153–156. Retrieved from http://jpoa.org.pk/index.php/upload/article/view/352