AI Article Synopsis
- The study analyzed complications from displaced supracondylar fractures of the humerus in children treated between 1978 and 1997, focusing on 200 cases.
- In 190 instances, treatment involved closed reduction and percutaneous pinning, with 90% of cases achieving functional and cosmetic success, while 16.5% experienced neurological impairment.
- A mini-open procedure is suggested for placing the ulnar K-wire to reduce the risk of damaging the ulnar nerve during treatment.
Article Abstract
We retrospectively studied the complications associated with a displaced supracondylar fracture of the humerus in children and its treatment. Between 1978 and 1997, 200 displaced fractures were treated by operative means. In 190 cases closed reduction and percutaneous pinning was performed. In 10 cases vascular impairment or unsatisfactory reduction necessitated open exploration. Functional and cosmetic success was achieved in 90% of all operated children. In 33 (16.5%) of all cases we found neurological impairment. All recovered without sequelae, except for one case with persistent radial nerve palsy which recovered after a sural nerve interposition graft. Transient neurological problems are common in this fracture. A mini-open procedure is recommended for the ulnar Kirschner wire (K-wire) to prevent iatrogenic ulnar nerve injury.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0020-1383(02)00312-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Chronic hand ischemia in pediatric patients due to brachial artery injury after supracondylar humerus fracture.
Ann Vasc Surg
January 2025
Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Objectives: Brachial artery injury due to displaced supracondylar fracture (SC) of the humerus in children may present with pink pulseless hand (PPH), denoting a well perfused hand without radial pulse, or acute hand ischemia. Some reports state that brachial artery reconstruction is not necessary in children with persisting PPH, but the reports on long-term consequences such as intermittent claudications, growth retardation and ischemic contracture in children with pulseless hand are scarce and often misinterpreted. The objective of our analysis was to assess the long-term outcomes of children with brachial artery injury associated with SC fracture.
View Article and Find Full Text PDFPredictors of Venous Thromboembolism Following Geriatric Distal Femur Fracture Fixation: Are These Patients at Higher Risk Compared With Hip Fracture Patients?
J Am Acad Orthop Surg Glob Res Rev
January 2025
From the Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Introduction: Venous thromboembolism (VTE) following injury and subsequent fixation of a distal femur fracture (DFFx) is associated with considerable morbidity. However, the incidence of VTE, associated factors, and the relative risk compared with hip fracture (HFx) fixation remains poorly characterized.
Methods: Retrospective cohort study using the PearlDiver M165 database to identify geriatric patients who underwent DFFx and HFx fixation.
The Initial Characteristics of Paediatric Supracondylar Humerus Fractures Led to Cubitus Varus Deformity and Delayed Displacement.
J Hand Surg Asian Pac Vol
January 2025
Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Supracondylar humerus fractures are the most common type of elbow fracture in children, with a variety of complications such as cubitus varus deformity. The most important goal of the initial treatment is to avoid complicated deformities. In the present study, we investigated cubitus varus deformity and discussed the ideal initial treatment for supracondylar humerus fractures.
View Article and Find Full Text PDFElbow rotation affects the accuracy of rotational formulas: validation of a modified method.
BMC Musculoskelet Disord
January 2025
Pediatric Orthopedic Hospital, Honghui Hospital, Xi'an Jiao tong University, Xi'an, 710000, China.
Background: Supracondylar humerus fractures (SCHFs) are the most common elbow fractures in children and are typically treated with closed reduction and Kirschner pin fixation. However, varying degrees of residual rotational displacement may remain after closed reduction. Several methods exist to assess rotational displacement, but none account for the effect of elbow rotation on the results.
View Article and Find Full Text PDFPediatric orthopedic surgeons may perform better in terms of surgical outcomes in type 3 supracondylar humerus fractures: a comparative analysis.
J Pediatr Orthop B
October 2024
The Pediatric Orthopaedics Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Supracondylar fractures of the humerus represent the most common surgical fractures in pediatric patients. There is a discourse regarding the influence of the surgeon training on treatment. Different studies show equivocal effect of subspecialty training.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!