Displaced supracondylar humeral fractures: influence of delay of surgery on the incidence of open reduction, complications and outcome

Schmid, Timo; Joeris, Alexander; Slongo, Theddy; Ahmad, Sufian S.; Ziebarth, Kai

doi:10.1007/s00402-015-2248-0

Cited by 32 publications

(26 citation statements)

References 46 publications

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“…The timing of treatment is controversially discussed in the literature. Indeed, delaying treatment of this fracture did not have a significant influence on the rates of open reduction, complication, or overall outcome [18].…”

Section: Discussionmentioning

confidence: 80%

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Pavone

Riccioli

Testa

et al. 2016

JFMK

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The aim of this study is to report the results of the treatment of displaced supracondylar humerus fractures comparing two different techniques, crossed and lateral pins. We retrospectively reviewed 35 children hospitalized between May 2005 and December 2012. Patients were treated with two different pin configurations, crossed (Group 1) and lateral (Group 2). After surgery, clinical and radiographic evaluation was performed. Postoperatively, the clinical assessment showed recovery of joint function of the elbow. Radiographically, Group 1 showed a difference in the Baumann angle between the value of the injured limb and the normal angle of 5.3˝˘2.12˝; in Group 2 the difference was 4.9˝˘2.82˝. Complications: group 1, two cases of short paresthesia, one case of slight varus, mild asymmetry, and deficit to extension of the humerus and group 2, two cases of local infection and one of a slight hyperextension were reported. Both groups achieved a satisfying outcome with similar results in joint function recovery and complications.

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Section: Discussionmentioning

confidence: 80%

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Pavone

Riccioli

Testa

et al. 2016

JFMK

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“…For those severely displaced supracondylar fractures, there is still a difference in opinion among authors whether utilizing closed reduction or open reduction procedure [10]. Open reduction with percutaneous pinning is an accepted treatment for severely displaced, irreducible fractures of the distal humerus [11][12], which also has several complications like infection, ROM limitation and scarring [13]. There is no research to prove that withier we should have an open procedure for supracondylar humerus fracture with such small fracture anterior to the humerus.…”

Section: Discussionmentioning

confidence: 99%

One-year follow up of pediatric supracondylar humerus fractures with bone fragments

Yang

et al. 2019

Preprint

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Background The aim of this study is to evaluate the clinical and imaging outcome of pediatric supracondylar humerus fractures with bone fragments on X ray film after closed reduction and percutaneous pin fixation. MethodsA retrospective review of 12 children with fragments on image after closed reduction treatment for displaced humeral supracondylar fractures (Gartland III). Primary radiographic assessment included the outcome of the fragments, post-operative Baumann angle, Carrying angle and loss of reduction. The clinical outcome included elbow range of motion, Flynn grade and other complications.Results Totally there were 460 cases of pediatric supracondylar humerus fractures (2-14 years old) , and 12 (2.6%) of the patients with bone fragments on postoperative X ray film were included. All 12 patients had bone fragments union or absorbed at 1 year after operation with good radiographic and clinical outcome. The mean Baumann angle was 15.5±4.3°, and the mean Carrying angle was 11.2±2.8°. All patients had a normal elbow range of motion, 10 patients obtained an excellent result, and 2 patients were good According to Flynn criteria. ConclusionsWe have good results for closed reduction and percutaneous pin fixation treatments in 12 pediatric supracondylar humerus fractures with bone fragments. The fragments were mainly absorbed or union to humerus in one year after surgery.

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“…The most common method of treatment of displaced fractures of the corresponding types II, III, and IV according to Gartland/Leitch is closed reduction and percutaneous Kirchner wire stabilization [9, 17]. But sometimes (2,6%) the open fracture reduction is required [18]. …”

Section: Discussionmentioning

confidence: 99%

Analysis of Early Neurovascular Complications of Pediatric Supracondylar Humerus Fractures: A Long-Term Observation

Tomaszewski

Wozowicz

Wysocka-Wojakiewicz

2017

BioMed Research International

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Purpose. Analysis of early vascular and nerve complications of supracondylar humerus fractures in children. Material and Methods. 220 children hospitalized in the Pediatric Trauma-Orthopedic Department in the years 2004–2014. The group consisted of 143 males and 77 females. Results. Acute neurovascular complications occurred in 16.81% of patients with displaced supracondylar fracture (37 children). Nerve damage was found in 10% of patients with displaced fracture (22 children). The most injured nerve was median nerve; this complication occurred in 15 patients (68.18%). The total nerve function returned after average of 122 days (0–220 days after surgery). Symptoms of vascular injury occurred in 7.7% children with displaced fracture (17 children). Conclusions. (1) In children with supracondylar fracture the most often injured nerve is median nerve. (2) The incidence of vascular and nerve complications positively correlates with the progression of fracture according to Gartland classification.

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Displaced supracondylar humeral fractures: influence of delay of surgery on the incidence of open reduction, complications and outcome

Abstract: III (retrospective comparative study).

Cited by 32 publications

References 46 publications

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

One-year follow up of pediatric supracondylar humerus fractures with bone fragments

Analysis of Early Neurovascular Complications of Pediatric Supracondylar Humerus Fractures: A Long-Term Observation

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