Management of pin tract infection in pediatric supracondylar humerus fractures: a comparative study of three methods

Lu, Di; Wang, Te; Chen, Hua; Lee, Sun

doi:10.1007/s00431-017-2884-1

Cited by 13 publications

(8 citation statements)

References 15 publications

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“…21,22 But there are also studies with reported rates of pin tract infection of 35.6%. 23 We underline the low rate of pin infection with one 1 case within our series.…”

Section: Discussionmentioning

confidence: 54%

Factors influencing the complication rate in pediatric supracondylar humerus fractures

et al. 2019

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The aim of the study was to identify influencing factors on the complication rate in pediatric supracondylar humerus fractures (PSHF). 22 male and 19 female patients with an extension type PSHF underwent conservative and operative treatment at a single trauma department and were reviewed retrospectively. The complications were assessed and the groups of patients with and without complications were compared according to patient- and therapy-related factors. The overall complication rate was 19.5%. Two patients had a primary and 4 patients a postoperative neurological deficit. One patient developed a pin infection after open reduction and crossed pin fixation. One patient underwent early revision surgery because of insufficient initial reduction after closed reduction and crossed pin fixation. All complications appeared in the surgical treatment group. The appearance of complications was significantly associated with a higher Gartland stage. The median time between trauma and operation was significantly longer in patients without compared to patients with complications. PSHF are associated with a high rate of neurological complications. The Gartland stage and the necessity of surgical treatment are the major influencing factors on the complication rate.

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“…21,22 But there are also studies with reported rates of pin tract infection of 35.6%. 23 We underline the low rate of pin infection with one 1 case within our series.…”

Section: Discussionmentioning

confidence: 54%

Factors influencing the complication rate in pediatric supracondylar humerus fractures

et al. 2019

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“…Factors associated with infection included multiaxial external fixation, spinal fusion, polydactyly excision/reconstruction, benign excision (tibia), an American Society of Anesthesiologists (ASA) score of ‡3, BMI of ‡95th percentile, and impaired cognitive status 95 . Other studies highlighted infection risk after operative repair of a supracondylar humeral fracture; in 1 randomized study, there was no difference in infection risk whether pin care occurred daily, every other day, or weekly, although pain was more frequent with daily pin-site care 96 . From retrospective studies, postoperative antimicrobial use after supracondylar humeral fracture fixation and delay of surgery (>7 days) were not associated with infection risk 97,98 .…”

Section: Pediatric Orthopaedicsmentioning

confidence: 99%

What’s New in Musculoskeletal Infection: Update on Biofilms

Nana

Nelson

McLaren

et al. 2016

The Journal of Bone and Joint Surgery

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“…Supracondylar humeral fractures (SCHFs) are the most common type of elbow fractures in the pediatric population between 5 and 8 years old [ 1 ]. Numerous studies have reported that SCHFs occur with nearly equal frequency among females and males [ 2 ], accounting for approximately 10% of all fractures in children [ 3 ] and 70% of all pediatric elbow injuries [ 4 ]. Children are susceptible to this fracture, due to the bending function of the elbow, the weak metaphyseal sclerotin of the distal humerus, and the thin ridge of the metaphyseal bone between the coronoid fossa and the olecranon fossa.…”

Section: Introductionmentioning

confidence: 99%

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

Zhao

Liu

et al. 2021

J Orthop Surg Res

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Background Closed reduction and pinning entry fixation have been proposed as treatment strategies for displaced supracondylar humeral fractures (SCHFs) in children. However, controversy exists regarding the selection of the appropriate procedure. Hence, this meta-analysis was conducted to compare the effect of lateral and crossed pin fixation for pediatric SCHFs, providing a reference for clinical treatment. Methods Online databases were systematically searched for randomized controlled trials (RCTs) comparing lateral pinning entry and crossed pinning entry for children with SCHFs. The primary endpoints were iatrogenic ulnar nerve injuries, complications, and radiographic and functional outcomes. Results Our results showed that iatrogenic ulnar nerve injuries occurred more commonly in the crossed pinning entry group than in the lateral pinning entry group (RR = 4.41, 95% CI 1.97–9.86, P < 0.05). However, its risk between the crossed pinning with mini-open incisions group and the lateral pinning entry group was not significantly different (RR = 1.58, 95% CI 0.008–29.57, P = 0.76). The loss of reduction risk was higher in the lateral pinning entry group than in the crossed pinning entry group (RR = 0.66; 95% CI 0.49–0.89, P < 0.05). There were no significant differences in the carry angle, Baumann angle, Flynn scores, infections, and other complications between these two groups. Conclusions The crossed pinning entry with mini-open incision technique reduced the loss of reduction risk, and the risk of iatrogenic ulnar nerve injury was lower than in the lateral pinning entry group. The crossed pinning entry with mini-open incision technique is an effective therapeutic strategy for managing displaced supracondylar humeral fractures in children.

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Management of pin tract infection in pediatric supracondylar humerus fractures: a comparative study of three methods

Cited by 13 publications

References 15 publications

Factors influencing the complication rate in pediatric supracondylar humerus fractures

Factors influencing the complication rate in pediatric supracondylar humerus fractures

What’s New in Musculoskeletal Infection: Update on Biofilms

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

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