Supracondylar Humerus Fractures

Russo, Stephanie A.; Abzug, Joshua M.

doi:10.1007/978-3-319-68004-0_4

Cited by 2 publications

(3 citation statements)

References 89 publications

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“…Elbow fractures, often the result of acute trauma, present a substantial challenge in orthopaedic practice, impacting both the function of the upper extremity and the complexity of treatment and rehabilitation 1,2 . The intricate anatomy of the elbow necessitates precise surgical intervention, particularly when conservative treatments are insufficient for managing non‐displaced fractures.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the associated factors in postoperative wound infection following open reduction and internal fixation for elbow fracture

Cui,

Ma,

2024

International Wound Journal

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Postoperative wound infections (PWIs) following open reduction and internal fixation (ORIF) for elbow fractures can significantly affect patient outcomes. Identifying associated risk factors is crucial for improving clinical practices and patient care. A retrospective analysis (June 2020–June 2023) at our institution involved 90 patients who underwent elbow ORIF. Thirty patients developed PWIs (case group), compared to 60 who did not (control group). Variables like anaemia, operation duration, hospital stay, blood loss, body mass index (BMI), age, hypoalbuminemia, smoking status, diabetes mellitus and open fractures were examined. Univariate and multivariate analyses determined the impact of these variables on PWI incidence, with statistical significance set at p < 0.05. The main pathogens identified were Escherichia coli among Gram‐negative bacteria (59.46%) and Staphylococcus aureus among Gram‐positive bacteria (40.54%). In the univariate analysis, hypoalbuminemia, anaemia, and lifestyle factors such as smoking showed higher prevalence in patients with PWIs. However, age and length of hospital stay did not significantly influence infection rates. The multivariate analysis further elucidated that anaemia, smoking, diabetes mellitus and open fractures were independent, significant predictors of PWIs. These findings highlight the complexity of factors influencing infection risk post‐ORIF, underscoring the importance of both individual health conditions and surgical complications in patient outcomes. Anaemia, smoking, diabetes mellitus and open fractures significantly increase the risk of PWI after elbow ORIF. Early identification and management of these risk factors are imperative to reduce infection rates and improve postoperative recovery.

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Section: Introductionmentioning

confidence: 99%

Analysis of the associated factors in postoperative wound infection following open reduction and internal fixation for elbow fracture

Cui,

Ma,

2024

International Wound Journal

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“…Since most classifications and treatment algorithms are based on degrees of extension and flexion displacement, the actual lateral view of the elbow is important. Nonoperative treatment of supracondylar humerus fractures is indicated in unstable Gartland type I fractures that do not involve neurovascular pathology [ 11 ]. Today, closed reduction and percutaneous pinning are the gold standard treatment for all displaced fractures [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The ever-increasing need for postoperative analgesia is the most critical indicator of compartment syndrome in children. If there is no pain, or compartment or neurovascular problems, the child can be discharged on the first day after surgery [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Radiological and Clinical Outcomes of Pediatric Patients With a Supracondylar Humerus Fracture Surgically Treated With Closed Reduction and Percutaneous Pinning

Muslu,

Cengiz,

Aydın Şimşek

et al. 2023

Cureus

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Objectives: It was aimed to evaluate the clinical and radiological results of patients operated on with closed reduction and pinning due to pediatric supracondylar humerus fractures. Materials and methods: The radiological and clinical results of 100 patients operated on with closed reduction and percutaneous pinning for pediatric supracondylar humerus fractures in the Department of Orthopedics and Traumatology were examined between January 2015 and February 2022. Clinical results were evaluated by performing cosmetic and functional scores defined by Flynn. Closed reduction and percutaneous pinning techniques were used in surgical treatment. Results: In our study, 59 patients were male (59%), and 41 were female (41%). The average age of all patients is 6.21 ± 2.85 years. According to the Gartland classification, 21 patients' fractures were type IIA (21%), 12 patients' fractures were type IIB (12%), 51 patients' fractures were type III (51%), and 16 patients' fractures were type IV (16%). The average number of pins used in the treatment is 2.55 ± 0.50. The elbow bearing angle of the operated side of the patients was an average of 6.53 ± 3.29 degrees, the humerocapitellar angle was an average of 41.97 ± 3.08 degrees, and the lateral humerocapitellar angle was an average of 50.17 ± 3.58 degrees. Fifty-one patients had stage 0 (51%), 23 patients had stage 1 (23%), 23 patients had stage 2 (23%), and three patients had stage 3 (3%) residual sagittal plane deformity. According to the Flynn criteria, 92 patients had excellent functional results (92%), seven patients had good results (7%), and one patient had fair results (1%). Regarding cosmetic results, 91 patients had excellent results (91%), six patients had good results (6%), and three patients had fair results (3%). Conclusion: Supracondylar humerus fractures are common in children and can cause serious complications. Closed reduction and percutaneous pinning techniques are effective treatment methods in the treatment of displaced supracondylar humerus fractures.

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Supracondylar Humerus Fractures

Cited by 2 publications

References 89 publications

Analysis of the associated factors in postoperative wound infection following open reduction and internal fixation for elbow fracture

Analysis of the associated factors in postoperative wound infection following open reduction and internal fixation for elbow fracture

Radiological and Clinical Outcomes of Pediatric Patients With a Supracondylar Humerus Fracture Surgically Treated With Closed Reduction and Percutaneous Pinning

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