The Flexion-Type Supracondylar Humeral Fracture in Children

Sharma, Anmol

doi:10.2106/jbjs.rvw.18.00114

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…visų viršgumburinių žastikaulio lūžių. Tokio tipo lūžis įvyksta dėl tiesioginio smūgio į sulenktą alkūnę, sukeliančio sąnario hiperfleksiją [8]. Šiuo atveju distalinis kompleksas dažniausiai dislokuoja anterolateraline kryptimi.…”

Section: Perkutaninės Osteosintezės Metodų Taikymas Vaikų žAstikaulio...unclassified

Perkutaninės Osteosintezės Metodų Taikymas Vaikų Žastikaulio Viršgumburinių Lūžių Gydymui

Inkėnas,

Čekanauskas

2022

Health Sciences

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Viršgumburinio žastikaulio lūžio mechanizmas susijęs su vaiko amžiumi, todėl ši priklausomybė plačiai tiriama ir interpretuojama. Distalinės žastikaulio žievės suplonėjimas bei alkūninės duobės ir alkūninės ataugos sąveika – tai priežastys, kurios nulemia jaunesniojo amžiaus vaikų pažeidžiamumą. Teigiama, kad lūžio tipas pagal Gartland klasifikaciją ir operacinė gydymo taktika buvo pagrindiniai veiksniai, nulemiantys komplikacijų skaičių. Mokslininkai nustatė, kad dislokuotiems II ir III tipo lūžiams rekomenduojamas gydymas yra perkutaninė osteosintezė. Taikomi keletas suprakondilinių lūžių (dažniausiai Gartland II ir III lūžio tipo) perkutaninės osteosintezės būdų. Modifikuotas Dorgan metodas jungia kryžminės perkutaninės osteosintezės Kiršnerio strypais ir Dorgan metodų privalumus, t.y. kryžminio vėrimo mechaninis stabilumas, atlikimo paprastumas ir Dorgan metodikos saugumas. Straipsnyje apžvelgiama vaikų viršgumburinio žastikaulio lūžių epidemiologija, traumos mechanizmas, diagnostika, gydymo parinkimo taktika, išryškinamos komplikacijos ir gydymo baigtis, priklausomai nuo lūžio tipo pagal Gartland klasifikaciją.

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Section: Perkutaninės Osteosintezės Metodų Taikymas Vaikų žAstikaulio...unclassified

Perkutaninės Osteosintezės Metodų Taikymas Vaikų Žastikaulio Viršgumburinių Lūžių Gydymui

Inkėnas,

Čekanauskas

2022

Health Sciences

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“…The lesion is caused by a direct fall on the tip of the elbow that causes hyper exion of the infracondylar segment. This fracture is unstable, it is di cult to reduce by push-pull with a joystick xed in the distal fragment [5]. Fixing in "double X" ensures a veri able intraoperative, solid and safe reduction.…”

Section: The Flexion-type Shfmentioning

confidence: 99%

“Double X” Fixation for Rare and Particular Pediatric Supracondylar Humerus Fractures

Burnei

Răducan

Enache

et al. 2021

Preprint

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Background Context. The presence of special, rare and various forms which we can encounter when treating supracondylar humeral fractures (SHF) in children, call into question what therapeutic methods can be used to increase the effectiveness of the treatment applied. The aim of this paper is to present the results obtained by using double cross-fixation, "in double X", by closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF) in treating rare and particular forms. Comments and opinions on "double X" method and other cross or side configurations are presented. Patient Sample. All patients with rare and particular forms presented in this article, were operated during 2001–2020 in state and private hospitals. Fixation in "double X" was used either by CRPP and ORIF. The epitrochlear approach (EA) was performed in cases where stability by CRPP could not be ensured or when there were clear signs of ulnar nerve damage. The minimal medial-approach (mMA) highlights the epitrochlea and the fracture of the medial pylon; it has the role of anatomically reducing the medial pylon, thinner and very unstable in rare and particular forms. During 1982–2020 we consulted, treated and evaluated patients with SHF to whom all known treatment methods were applied: orthopedic reduction and immobilization in plaster cast, CRPP, ORIF, minimal-open reduction and internal fixation (mORIF) by mMA and external fixator. Internal fixation was done by the techniques of Judet, San Antonio, San Diego, Dorgan, in “X” and “double X”. In 2001, I introduced "double X" fixation to better stabilize anatomical reductions that showed signs of instability during intraoperative verification. All indications given in the study protocol have been made in accordance with the regulations mentioned in the experimental program. Results. All SHFs operated by CRPP and ORIF by “double X” were cured and satisfactory and good results were obtained in the neglected types operated between 14 and 60 days and good and excellent results were obtained in the rare forms. Conclusions. “Double X” fixation gives the best stabilization and postoperatively there is no need for immobilization in a plaster cast. Recovery may begin the day after surgery.

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“…The lesion is caused by a direct fall on the tip of the elbow that causes hyperflexion of the infracondylar segment. This fracture is unstable, it is difficult to reduce by push-pull with a joystick fixed in the distal fragment [5]. Fixing in "double X" ensures a verifiable intraoperative, solid and safe reduction.…”

Section: The Flexion-type Shfmentioning

confidence: 99%

“Double X” Fixation for Rare and Particular Pediatric Supracondylar Humerus Fractures

Burnei

Raducan

Enache

et al. 2021

MRAJ

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Background Context. The presence of special, rare and various forms which we can encounter when treating supracondylar humeral fractures (SHF) in children, call into question what therapeutic methods can be used to increase the effectiveness of the treatment applied. The aim of this paper is to present the results obtained by using double cross-fixation, "in double X", by closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF) in treating rare and particular forms. Comments and opinions on "double X" method and other cross or side configurations are presented. Patient Sample. All patients with rare and particular forms presented in this article, were operated during 2001-2020 in state and private hospitals. Fixation in "double X" was used either by CRPP and ORIF. The epitrochlear approach (EA) was performed in cases where stability by CRPP could not be ensured or when there were clear signs of ulnar nerve damage. The minimal medial-approach (mMA) highlights the epitrochlea and the fracture of the medial pylon; it has the role of anatomically reducing the medial pylon, thinner and very unstable in rare and particular forms. During 1982-2020 we consulted, treated and evaluated patients with SHF to whom all known treatment methods were applied: orthopedic reduction and immobilization in plaster cast, CRPP, ORIF, minimal-open reduction and internal fixation (mORIF) by mMA and external fixator. Internal fixation was done by the techniques of Judet, San Antonio, San Diego, Dorgan, in “X” and “double X”. In 2001, I introduced "double X" fixation to better stabilize anatomical reductions that showed signs of instability during intraoperative verification. All indications given in the study protocol have been made in accordance with the regulations mentioned in the experimental program. Results. All SHFs operated by CRPP and ORIF by “double X” were cured and satisfactory and good results were obtained in the neglected types operated between 14 and 60 days and good and excellent results were obtained in the rare forms. Conclusions. “Double X” fixation gives the best stabilization and postoperatively there is no need for immobilization in a plaster cast. Recovery may begin the day after surgery. Keywords: supracondylar fractures, child elbow pathology, cross-fixation, lateral fixation, healing and recovery after 30-45 days.

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The Flexion-Type Supracondylar Humeral Fracture in Children

Cited by 8 publications

References 23 publications

Perkutaninės Osteosintezės Metodų Taikymas Vaikų Žastikaulio Viršgumburinių Lūžių Gydymui

Perkutaninės Osteosintezės Metodų Taikymas Vaikų Žastikaulio Viršgumburinių Lūžių Gydymui

“Double X” Fixation for Rare and Particular Pediatric Supracondylar Humerus Fractures

“Double X” Fixation for Rare and Particular Pediatric Supracondylar Humerus Fractures

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