Treatment of Completely Displaced Supracondylar Fracture of Humerus in Children

Kim, Bu Hwan; Heo, Mu Jung; Hwang, Won Jun

doi:10.12671/jksf.2003.16.4.585

Cited by 1 publication

(1 citation statement)

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“…Although some investigators have reported a satisfactory outcome with closed reduction and casting, 5-7 the fracture may still be unstable, and excessive elbow flexion may cause a Volkmann's ischaemic contracture. 5,7,8 In the past, treatment with closed reduction or traction has been recommended, 1,5,[9][10][11] but complications such as joint stiffness, long hospital stays and cubitus varus deformities have been reported. [12][13][14] At present, Radiographs taken 40 minutes from the start of anaesthesia showing a) anteroposterior and b) lateral view using an image intensifier to confirm percutaneous Kirschner wire fixation.…”

Section: Discussionmentioning

confidence: 99%

Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique

Lee

Kim

2007

The Journal of Bone and Joint Surgery. British volume

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This study aimed to evaluate the use of pin leverage in the reduction of Gartland type III supracondylar fractures of the humerus in children. The study comprised 95 children, who were split into three groups according to the type of method of reduction used. Group 1, had an open reduction, group 2, had closed reduction and percutaneous pin fixation and group 3, the pin leverage technique. Each group was analysed according to the time to surgery, the duration of the procedure, the incidence of complications, and the clinical and radiological outcome. The mean duration of the operative procedure in groups 1, 2 and 3 was 119 minutes (80 to 235), 57 minutes (20 to 110) and 68 minutes (30 to 90), respectively. At a mean follow-up of 30 months (12 to 63) the clinical results were declared excellent or good in all children and the radiological results intermediate in five patients in group 2. The results of the closed reduction using the pin leverage technique was classified as failure in two children. Our findings lead us to believe that the pin leverage method of reduction gives good results in the treatment of Gartland type III fractures.

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