Displaced Supracondylar Fractures of the Humerus in Children

Kramhøft, M; Il, Keller; S, Solgaard

doi:10.1097/00003086-198708000-00026

Cited by 16 publications

(3 citation statements)

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“…There has been no uniformity of opinion concerning the ideal method of treatment of displaced supracondylar fractures. Several treatment modalities have been recommended including closed reduction and plaster immobilisation [16,17], open reduction and internal fixation [16,[18][19][20][21], traction [16,18,[22][23][24][25], and closed reduction and percutaneous pinning [11,16,19,26]. While closed manipulation and percutaneous Kirschner wire stabilization is the accepted treatment of displaced supracondylar fractures of the humerus in children, there is still argument on the optimal configuration of those Kirschner wires.…”

Section: Resultsmentioning

confidence: 99%

Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique

El-Adl¹,

El-Said²,

Boghdady³

et al. 2008

Strategies in Trauma and Limb Reconstruction

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Seventy children with displaced type II and III supracondylar fractures of the humerus were managed with percutaneous lateral cross-wiring technique from January 2006 to January 2007. There were 54 boys and 16 girls with a mean age of 6.1 +/- 3.07 years. All patients were operated within 24 h after trauma using the Dorgans percutaneous lateral cross-wiring technique. Patients were followed up for a mean period of 6.1 +/- 2.6 months and assessed both radiologically for union; and functionally and cosmetically according to Flynn's criteria. All patients achieved solid union. Functionally, all patients achieved satisfactory results, while cosmetically, 91.4% of patients had satisfactory results and 8.6% had unsatisfactory results. The most frequently occurring complications were minor pin tract infection in six patients, deep infection in two patients, and 32 patients suffered excessive granulation tissue formation mostly around the proximal pin. There was no iatrogenic neurological injury either for the ulnar or for the radial nerves. The obtained results and minor complications reported signify this technique as a viable treatment method for displaced type II and III supracondylar fractures in children.

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Section: Resultsmentioning

confidence: 99%

Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique

El-Adl¹,

El-Said²,

Boghdady³

et al. 2008

Strategies in Trauma and Limb Reconstruction

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show abstract

“…Worlock & Colton [7] in 1987 reported on 28 patients treated with olecranon screw traction with a cubitus varus incidence of 7%. A number of studies have shown that there is no significant difference in the final outcome in patients treated with either olecranon screw traction or wiring [2][3][4][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous wiring of these fractures is not always easy [13,15,17,25]. The elbow is always swollen distorting local anatomy.…”

Section: Discussionmentioning

confidence: 99%

Changing the Management from Olecranon Screw Traction to Percutaneous Wiring for Displaced Supracondylar Fractures of the Humerus in Children. A Justified Decision?

Lewis¹,

Monk²,

Chandratreya³

et al. 2007

Eur J Trauma Emerg Surg

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Outcomes achieved from percutaneous wiring of displaced supracondylar fractures are similar to those from olecranon screw traction. The advantage of percutaneous wiring to both patient and provider is the reduced hospital stay. The decision to change management therefore appears to be justified. However, percutaneous wiring is generally a technically more demanding procedure and olecranon screw traction should remain a possible treatment option for the management of this injury.

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Humerus

2000

Skeletal Injury in the Child

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Displaced Supracondylar Fractures of the Humerus in Children

Cited by 16 publications

References 0 publications

Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique

Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique

Changing the Management from Olecranon Screw Traction to Percutaneous Wiring for Displaced Supracondylar Fractures of the Humerus in Children. A Justified Decision?

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