Dislocated Extension - Type Supracondylar Humerus Fractures in Children: Single Centre Experience
DOI:
https://doi.org/10.3889/oamjms.2014.005Keywords:
supracondylar humerus fractures, closed reposition, percutaneous fixation, children, retrospective analysis.Abstract
Aim: The aim of this study is to show our experience in cases of dislocated extension type - supracondylar humeral fractures and evaluate the results of their treatment in the period from 2000 to 2010 with a follow up of a maximum six months.
Material and Methods: A retrospective analysis of the clinical cases for the period 2000 - 2010 was done. Children from 4 to 14 years of age with supracondylar fractures of the humerus - extension type are included. The total number of patients treated at the Clinic for Pediatric Surgery was 230.
Results: The results of the treatment were evaluated after the last control examination six months later. We noticed postoperative neurological damage in 10 cases (4.85%). In 14 patients (6.8%) we noticed long term deformities such as cubitus varus or cubitus valgus. Infection at the entering place of the needles occurred in 4 patients (1.94%), which did not indicate premature extraction of the needles and conversion of the treatment.
Conclusion: As a conclusion, we can stress that our outcomes in treatment of dislocated suparacondylar fractures of the humerus in children meet the world standards.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Arino VL, Lluch EE, Ramirez AM, Ferrer J, Rodrigez L, Baixauli F. Percutaneous Fixation of Supracondylar Fractures of the Humerus in Children. J Bone Joint Surg Am. 1977;59:914-16. DOI: https://doi.org/10.2106/00004623-197759070-00013
Kanellopoulos AD, Yiannakopoulos CK. Closed Reduction and Percutaneous Stabilization of Pediatric T – Condylar Fractures of the Humerus. J Pediatr Orthop. Jan/Feb 2004; 24(1):13-16. DOI: https://doi.org/10.1097/01241398-200401000-00003
Mangwani J, Nadarajah R, Peterson JMH. Supracondylar Humeral Fractures in Children. Ten Years’ Experience in a Teaching hospital. J.Bone Joint Surg. Br. 2006;88-B:362-5. DOI: https://doi.org/10.1302/0301-620X.88B3.16425
Mazda K, Boggione C, Fitousi F, Penneçot GF. Systematic Pinning of Displaced Extension – type Supracondylar Fractures of the Humerus in Children: A PROSPECTIVE STUDY OF 116 CONSECUTIVE PATIENTS. J.Bone Joint Surg. Br. Aug 2001; 83-B(6):888-93. DOI: https://doi.org/10.1302/0301-620X.83B6.0830888
McLauchlan GJ, Walker CRC, Cowan B, Robb JE, Presxott RJ. Extension of the Elbow and Supracondylar Fractures in Children. J.Bone Joint Surg. Br. May 1999; 81-B(3):402-05. DOI: https://doi.org/10.1302/0301-620X.81B3.0810402
Childress HM. Transarticular Pin Fixation in Supracondylar Fractures at the Elbow in Childen: A CASE REPORT. J.Bone Joint Surg. Am. 1972;54:1548-52. DOI: https://doi.org/10.2106/00004623-197254070-00021
Mehlman CT, Strub WM, Roy DR, Wall EJ, Crawford AH. The Effect of Surgical Timing on the Perioperative Complications of Treatment of Supracondylar Humeral Fractues in Children. J.Bone Joint Surg. Am. 2001; 83:323-27. DOI: https://doi.org/10.2106/00004623-200103000-00002
Scaggs Dl, Julia MH, Bassett J, Kaminsky C, Kay RM. Tolo VT, Operative Treatment of Supracondylar Fractures of the Humerus in Children: The Consequences of Pin Placement. J.Bone Joint Surg. Am. 2001; 83:735-40. DOI: https://doi.org/10.2106/00004623-200105000-00013
Leitch KK, Kay RM, Femino JD, Tolo VT, Storer SK, Skaggs DL. Treatment of Multidirectionally Unstable Supracondylar Humeral Fractures in Children. A Modified Gartland Type – IV Fracture. J.Bone Joint Surg. Am. 2006;88:980-85. DOI: https://doi.org/10.2106/JBJS.D.02956
Green NE. Editorial – Overnight Delay in the Reduction of Supracondylar Fractures of the Humerus in Children. J.Bone Joint Surg. Am. 2001;83:321-52. DOI: https://doi.org/10.2106/00004623-200103000-00001
Walmsely PJ, Kelly MB, Robb JE, Annan IH, Porter DE, Delay Increases the Need for Open Reduction of Type – III Supracondylar Fractures of the Humerus. J.Bone Joint Surg. Br. 2006; 88B:528-30. DOI: https://doi.org/10.1302/0301-620X.88B4.17491
Fowler TP, Marsh JL. Reduction and Pinning of Pediatric Supracondylar Humerus Fractures in the Prone Position. J Orthop Trauma. 2006; 20:277-81. DOI: https://doi.org/10.1097/00005131-200604000-00008
Scaggs DL, Cluck MW, Mostofi A, Flynn JM, Kay RM, Lateral Entry Pin Fixation in the Management of Supracondylar Fractures in Children. J.Bone Joint Surg. Am. 2004; 86:702-07. DOI: https://doi.org/10.2106/00004623-200404000-00006
Matsuzaki K, Nakatani N, Harada M, Tamaki T. Teratment of Supracondylar Fractures of the Humerus in Children by Skeletal Traction in a Brance. J.Bone Joint Surg. Br. March 2004; 86-B(2):232-38. DOI: https://doi.org/10.1302/0301-620X.86B2.13774
Zionts LE, McKellop HA, Hathaway R. Torsional Strength of Pin Configurations Used to Fix Supracondylar Fractures of the Humerus in Children. J. Bone Joint Surg. Am. 1994; 76:253-6. DOI: https://doi.org/10.2106/00004623-199402000-00013
Vlahović T, BumÄi I. Biomechanical Evaluation of the Value of Osteosynthesis in Supracondylar Fracture of the Humerus Using Kirschner Pins In Children. Eur J Pediatr Surg. 2002;12:410-15. DOI: https://doi.org/10.1055/s-2002-36850
Culp RW, Osterman AL, Davidson RS, Skirven T, Bora FW. Neural injuries Assocoated with Supracondylar Fractures of the Humerus in Children. J.Bone Joint Surg. Am. 1990;72:1211-15. DOI: https://doi.org/10.2106/00004623-199072080-00013
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2014 Lazar Todorovic, Mile Petrovski, Aco Dimov, Riste Simeonov, Marjan Kamiloski, Lazo Jovcheski, Marko Spasov, Vesna Cvetanovska (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
