Early Results of Supracondylar Humeral Fractures in Pediatrics treated with Dorgan's Technique

Document Type : Original Article

Authors

Orthopedic Surgery Department, Faculty of Medicine, Zagazig University

Abstract

Background: fixation of supracondylar fractures in children with Kirschner wires (two lateral and one medial wire) increases the risk of ulnar nerve damage. Dorgan's Technique (lateral crossed pin fixation) lowers risk of ulnar nerve injury. This study was conducted for the first time at Zagazig University Hospitals. Our goal was to assess Dorgan's Technique's clinical and radiological results in fixing supracondylar fractures. Methods: This clinical trial was conducted at the Trauma unit in the Orthopedic Surgery Department, Zagazig University Hospitals on 30 children; graded according to Garteland's classification as follow: extension type fracture: in the 28 cases (93%) and flexion type fracture: in the 2 cases (7%). Results: There was intact ulnar nerve and vascular examination pre and post-operative for studied patients. Early Postoperative complications were; radial nerve neuropraxia in 10% of patients, pin tract infection was seen in six patients (20%). Late Complications distributed as following ; rotated, Malunion, Deformity “cubitus varus” were found in in three patients (10%), for each of them. Conclusion: In order to achieve excellent functional, esthetic, and radiological results, the lateral cross-pinning approach offers a biomechanically stable fixation that permits early and safe active elbow movements. Without putting the radial nerve in jeopardy, a correctly executed Dorgan's approach totally eliminates the possibility of iatrogenic ulnar nerve damage.

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Zagazig University Medical Journal
Volume 31, Issue 6
June 2025
Pages 2292-2301

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