Closed Reduction and Percutaneous Pinning for Type III Displaced Supracondylar Fractures of the Humerus in Children

Cheng, Jack C. Y.; Lam, TP; Shen, WY

doi:10.1097/00005131-199509060-00009

Cited by 164 publications

(83 citation statements)

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“…This study is limited by the fact that residents were part of the team treating all of these children. This study with a comparable complication rate to other published series [14,[20][21][22] supports the assertion that both pediatric and nonpediatric orthopedists have sufficient training, skill, and experience to treat these common injuries in an academic setting. …”

Section: Discussionsupporting

confidence: 85%

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Farley

Patel

Craig

et al. 2008

Journal of Children's Orthopaedics

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Purpose Outcomes in children with supracondylar humerus fractures were stratified by type of treating orthopedic surgeon: pediatric orthopedic surgeon and nonpediatric orthopedic surgeon. Methods The outcome factors in 444 children examined included: open reduction rate, complications, postoperative nerve injury, repinning rate, need for physical therapy, and residual nerve palsy at final follow-up. Results For the severe fractures, significantly more fractures were treated by open reduction in the pediatric orthopedic surgeon group than in the nonpediatric orthopedic surgeon group. There were no other significant differences in outcomes between the fractures treated by the pediatric orthopedic surgeons and nonpediatric orthopedic surgeons. Conclusions This study supports the assertion that both pediatric and nonpediatric orthopedic surgeons in an academic setting have sufficient training, skill, and experience to treat these common injuries.

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Section: Discussionsupporting

confidence: 85%

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Farley

Patel

Craig

et al. 2008

Journal of Children's Orthopaedics

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“…The anteroposterior radiograph showed 15°humero-ulnar angles on the both elbows J Child Orthop (2008) Deep infections or osteomyelitis is rare following surgical treatment of displaced supracondylar humeral fractures; pin-tract infections usually are seen [26]. Recently reported rates of infection associated with percutaneous fixation have ranged from 2.4 to 6.6% [13,21,27]. In our study, the infection rate was 6.5%.…”

Section: Discussionmentioning

confidence: 47%

“…The rate of conversion to open reduction has been reported as ranging from less than 3% to about 46% [13,[18][19][20]. Cheng et al [21] reported a series of 180 patients with type-III supracondylar fractures, with an open reduction rate approaching 38%. However, in this series, only 17% of the fractures were presented on the day of injury.…”

Section: Discussionmentioning

confidence: 99%

Delayed surgical treatment of supracondylar humerus fractures in children using a medial approach

Eren

Güven

Erol

et al. 2008

Journal of Children's Orthopaedics

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Purpose The appropriate management of supracondylar humerus fractures in children is frequently delayed due to various factors, and there is still no agreement on the treatment of choice. The purpose of this study was to evaluate the effects of delayed treatment of displaced supracondylar humerus fractures on the treatment results and complication rate. Methods A total of 31 children with supracondylar humerus fractures who had not received adequate treatment for their displaced fractures were included in this study. The conditions leading to delayed treatment mainly included severe swelling or skin problems around the elbow and the health facility problems unique to our district. The mean delaying time was 6 days (range 2-19 days). There were 24 males and 7 females with a mean age of 7 years (range 1-13 years). The fractures were classified as type III-A (n = 15; 48%) and type III-B (n = 16; 52%) according to Gartland. Surgical treatment consisting of sentiment manual reduction through a medial approach and percutaneous cross-pinning was applied to all. No image intensifier was used during the procedures. A long-arm splint was used for post-operative immobilization. Results The average hospital stay was 2 days (range 1-3 day) and the patients were followed clinically and radiographically for an average of 4 years (range 2-11 years). Pins were removed at the end of the third week post-operatively, at which time the range of motion exercises were begun. None of the patients required physical therapy and full functional recovery was achieved within 3 months in 29 (93.5%) patients and within 5 months in the remaining 2 (6.5%). Two (6.5%) preoperative nerve injuries (1 interosseous, 1 ulnar) were resolved spontaneously within 3 months post-operatively. At the final follow-up, 7 (22.5%) patients had cubitus varus deformity. Except for 2 (6.5%) pin-tract infections, which were resolved by oral antibiotics and pin removal, none of the patients had early or late complications, not even neurological deficit or myositis ossificans. Conclusions Delayed presentation of displaced supracondylar humerus fractures in children did not increase complication rates or unsatisfactory results following an open reduction. Medial approach and cross-pinning is an effective and reliable treatment method for these fractures.

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“…But most authors now agree that accurate reduction with minimum soft-tissue trauma is required to achieve the best possible functional outcome. [10][11][12][13][14] Treatment modalities vary, but the primary aim is to try and achieve anatomical reduction by the simplest way possible before the fracture is stabilized.…”

Section: Supracondylar Fractures Of the Humerus (Sc Fracture)mentioning

confidence: 99%

Minimally Invasive-Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of the Humerus in Children

Pradhan

Tamrakar

Gyawali

et al. 2015

J Patan Acad Health Sci

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Closed Reduction and Percutaneous Pinning for Type III Displaced Supracondylar Fractures of the Humerus in Children

Cited by 164 publications

References 0 publications

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Delayed surgical treatment of supracondylar humerus fractures in children using a medial approach

Minimally Invasive-Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of the Humerus in Children

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