10-minute Operation : Close Reduction with Percutaneous Pinning in Supracondylar Fracture Type III

CRPP IN SUPRACONDYLAR

FRACTURE TYPE III

10-MINUTE OPERATION

Nattakul Yamprasert, MD Department of Orthopaedics,

Maharat Nakhon Ratchasima Hospital THAILAND

Supracondylar Fracture Gartland Type III

Reduce medio-lateral plane first

Reduce anteroposterior plane

SURGEON’S THUMBS : PUSH THE OLECRANON FROM POSTERIOR TO ANTERIOR DIRECTION

SURGEON’S OTHER FINGERS : COUNTERACT ANTERIORLY

ON HUMERAL SHAFT

ASSISTANT : LONGITUDINAL TRACTION & FLEXION

THUMB : CLOSE THE ULNAR GROOVE TO PROTECT ULNAR NERVE DURING PINNING

ASSISTANT : EXTERNALLY ROTATE ARM & FOREARM AS ONE UNIT WHILE THE ELBOW FULLY FLEXED

MINI STAB INCISION

THE 2nd PIN DIVERGED FROM THE 1st

THE 3rd PIN INSERTION FROM LATERAL SIDE

PINS INTERSECTED ABOVE THE FRACTURE

Splint with posterior slab in 60 -70 degrees of elbow flexion