Splintage following supracondylar fracture in paediatrics

Thomson, Lauren; Pagkalos, Joseph; Prem, Hari

doi:10.1308/rcsann.2015.97.4.317b

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Using only the lateral k-wire to provide biomechanical stability and the significant risk of ulnar nerve damage produced by the medialapplied k-wire during percutaneous cross-pinning have raised questions about pinning 13-14. Supracondylar fractures of the humerus account for 12-17% of all pediatric fractures, which is a significant burden of injuries in children. Ninety-five percent of supracondylar fractures are caused by extensions [15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

Comparative Outcome of Three Different Approaches for Supracondylar Humeral Fractures in Children in Khyber Pakhtunkhwa, Pakistan

Shakeel¹,

Khan²,

Ullah³

et al. 2022

PJMHS

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Background: The closed reduction and percutaneous pinning are the min treatment approaches tested in pediatric humerus supracondylar fractures but the treatment approach preferred in fractures without closed reduction is remains unclear. Objectives: The purpose of this study was to compare three common orthopaedic procedures for treating children with supracondylar humerus fractures of the displaced extension type. Methods: The current retrospective analytical study was started in the Department of Orthopedic at Khyber Teaching Medical College from 2015 to 2020, with the approval of the clinical research ethics committee. This analysis was conducted on 64 patients between the ages of 1 and 12 years who underwent hospital surgery for Gartland IIb, Gartland IIb, and Gartland III supracondylar humerus fracture. Results: A total of 64, 22 patients were from group A, in which 18 (81.81%) were male and only 4 (18.18%) were female, while in group B and C were 21 (80.76%), 5 (19.23%) and 14 (87.5%), 2 (12.50%) male and female, respectively. The injury on left elbow and right elbow in group A was recorded 68.18 and 31.81%, respectively. Among the total injured children, the left elbow was fractured in 47 (73.43%) case and the right one in 7 (10.93%). Approximately the duration of injury to therapeutic procedure was recorded 7.53±3.03 hours in the study. When compared to the group of displaced supracondylar humeral fractures that were conservatively handled, the functional and aesthetic treatment outcomes between the closed and open reduction with K-wire fixation groups were significantly different. According to this system, excellent, fair, good and poor functional outcomes were recorded in 10 (45.45%), 6 (27.27%), 4 (18.18%) and 2 (9.09%) patients of A group, respectively, while 13 (50%), 5 (19.23%), 5 (19.235), and 3 (11.50%) patients in group B, respectively. The poor and fair functional outcome was noted in 1 (6.25%) and 3 (18.75%) patients, respectively in group C. Practical implication: This is a critical surgical condition in children and they should be provided with the appropriate treatment to acquire the child's ability of movement. According to our findings among three management techniques, the most favorable was open reduction with K-wire fixation, and therefore was recommended with good success rate. Conclusion: It was thus concluded that open reduction with K-wire fixation is a good alternative to closed reduction with percutaneous pinning for treating displaced pediatric supracondylar humeral fracture. Keywords: Children; Supracondylar humerus fracture; Surgical treatment; Pediatric fractures; Pakistan

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Section: Discussionmentioning

confidence: 99%

Comparative Outcome of Three Different Approaches for Supracondylar Humeral Fractures in Children in Khyber Pakhtunkhwa, Pakistan

Shakeel¹,

Khan²,

Ullah³

et al. 2022

PJMHS

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“…During plaster application, with the elbow at 90 degrees, the anterior cubital fossa neurovascular structures are at risk of injury secondary to pressure effect of the cast. Thomson et al [27] present a two staged method of casting to prevent this complication from occurring. The first layer, scaffold, is applied in a figure of eight manor bridging the antecubital fossa.…”

Section: Gartland Type Imentioning

confidence: 99%

Supracondylar Fractures of the Humerus in Children: Review of Management and Controversies

Dabis¹,

Daly²,

Gelfer³

2016

Orthop Muscular Syst

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Upper extremity fractures account for up to 90% of paediatric fractures. Amongst these fractures, Supracondylar Humerus fractures are one of the most common requiring surgical intervention and have a high prevalence of associated short term complications such as nerve injuries and long term complications such as cubitus varus. The epidemiology, classifications, clinical evaluation and complications of this fracture is hereby comprehensively reviewed along with controversies in management and available guidelines.

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Splintage following supracondylar fracture in paediatrics

Cited by 2 publications

References 3 publications

Comparative Outcome of Three Different Approaches for Supracondylar Humeral Fractures in Children in Khyber Pakhtunkhwa, Pakistan

Comparative Outcome of Three Different Approaches for Supracondylar Humeral Fractures in Children in Khyber Pakhtunkhwa, Pakistan

Supracondylar Fractures of the Humerus in Children: Review of Management and Controversies

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