Özet:

INTRODUCTION: Supracondylar humerus fractures are 10% of the fractures in children. The preferred treatment of displaced supracondylar humerus fractures in hildren is immediate closed reduction and percutaneous fixation with pins. One of the most important complications of the surgery is the iatrogenic ulnar nerve injury due to the pin placed medially. In our study, we aimed to evaluate Gartland type 3 supracondylar humerus fractures were treated with isolated lateral pinning and medial pin placed configuration for additional stability in the osteosynthesis and superiority of configurations about correction loss and time to pin removal. MATERİAL AND METHODS: 30 patients (22 males, 8 females, mean age 8,1 ± 2,6) who applied cross pin ( two lateral one medial) and 10 patients (5 males, 5 females, mean age 7,1 ± 2,1) who applied lateral pin (two lateral) in pediatric supracondylar humeral fractures between 2014-2015 were included in the study. Baumann’s angle was measured on first radiographs after surgery and the radiographs after pin removal. The differences in the angles, the time of appearance of the first callus tissue and the time to pin removal were compared. RESULTS: The differences in the Baumann’s angles in the cross pin group was 5.0 ± 2.3 degrees and in the lateral pin group of 4.7 ± 2.2 degrees and there was no significant difference between the groups. In terms of initial callus formation and times to pin removal there was no significant difference between the groups. CONCLUSİON: Medial pin placement is not necessary to preserve the correction, stabilization applied with only lateral pins is a reliable method for adequate fracture healing.

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