A comparative study of functional outcome of criss-cross pinning vs parallel pinning for Gartland type III supracondylar humeral fractures in children in tertiary care centre

Introduction: Supracondylar fracture of the humerus is most frequently encountered elbow injuries among children that occupies around 60% all in initial ten years life. Trouble reduction and its maintenance, recurrent association neurovascular structures injury are common complications displaced supracondylar fractures.Methods: Around 64 patients with type III fractures were selected who fulfilled our inclusion criteria. The method patient selection for criss-cross pinning (GROUP-1) or parallel (GROUP-2) be random. All suspected assessed vascular neurological status. Clinical evaluation was graded according to carrying angle range motion using criteria Flynn. Radiographic performed at 3rd week, 6 week 3 months. In pins removed. At 3- 6-month follow-up, evaluated full function, minor limitation function major loss function. Result: subjects study had postoperatively. group 1 Vs 2 11.18±1.99 11.96±1.92. Baumann’s 71.59±3.10 71.65±2.23. Flynn et al. 100% excellent score whereas 1, 94% Conclusion: From study, we concluded lateral technique provides better functional outcome as cross management children. When compared crossed wire pinning, avoids risk nerve injury, reduces operation time have scores.