Functional Outcomes of Percutaneous Lateral Pinning in Pediatric Supracondylar Humerus Fractures: A Prospective Study with Emphasis on Postoperative Analgesic Management.

BACKGROUND: Supracondylar fractures of the humerus are among the most common pediatric elbow injuries. Percutaneous lateral pinning is widely used due to its safety profile and reduced risk of ulnar nerve injury. Postoperative pain management plays a crucial role in recovery, yet limited studies evaluate analgesic requirements alongside functional outcomes. AIM: To evaluate functional outcomes of percutaneous lateral pinning in pediatric supracondylar fractures and assess postoperative analgesic requirements. METHODOLOGY: A prospective study was conducted on 24 children aged 3-12 years with Gartland type II and III supracondylar fractures. All patients underwent closed reduction and percutaneous lateral K-wire fixation. Functional outcomes were assessed using Flynn's criteria, range of motion, and carrying angle. Postoperative analgesic use (paracetamol and ibuprofen) was recorded. Follow-up was conducted up to 6 months. RESULTS: Excellent to good outcomes were observed in 100% of patients. Most patients (92%) achieved excellent results. Postoperative pain was higher during the initial 48 hour, requiring regular analgesics, but decreased significantly thereafter. No iatrogenic ulnar nerve injury or loss of reduction was observed. CONCLUSION: Percutaneous lateral pinning provides stable fixation with excellent functional outcomes. Effective postoperative analgesic management enhances recovery and patient comfort.