Dislocated Extension - Type Supracondylar Humerus Fractures in Children:  Single Centre Experience

Lazar Todorovic; Mile Petrovski; Aco Dimov; Riste Simeonov; Marjan Kamiloski; Lazo Jovcheski; Marko Spasov; Vesna Cvetanovska

doi:10.3889/oamjms.2014.005

Authors

Lazar Todorovic University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Mile Petrovski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Aco Dimov University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Riste Simeonov University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Marjan Kamiloski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Lazo Jovcheski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Marko Spasov University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje
Vesna Cvetanovska University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje

DOI:

https://doi.org/10.3889/oamjms.2014.005

Keywords:

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.

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