A prospective randomised non-blinded comparison of conventional and Dorgan’s crossed pins for paediatric supracondylar humeral fractures

Dučić, Siniša; Radlovic, Vladimir; Bukva, Bojan; Radojičić, Zoran; Vrgoč, Goran; Brkić, Iva; Dučić, Tatjana Jaramaz; Jurdana, Hari; Abramovic, Dusan; Bojovic, Nikola; Štefan, Lovro

doi:10.1016/j.injury.2016.09.011

Cited by 16 publications

(15 citation statements)

References 17 publications

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“…Flynn criteria scores for the functional and cosmetic outcomes were reported in seven studies [ 8 , 27 , 28 , 31 , 33 , 35 , 36 ]. Excellent outcomes were reported in 271 (78.3%) of 346 patients treated with crossed pins and 258 (74.6%) of 356 patients treated with lateral pins.…”

Section: Methodsmentioning

confidence: 99%

“…Iatrogenic ulnar nerve injury Iatrogenic ulnar nerve injury was one of the most common problems, reported in 11 of the 12 studies [8,[26][27][28][29][30][31][32][33][34]. The data were pooled across 11 studies, and the analysis revealed a significant difference in the pooled treatment effect with no heterogeneity (P = 0.79, I 2 = 0%).…”

Section: Effects Of Interventionsmentioning

confidence: 99%

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Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

Zhao

Liu

et al. 2021

J Orthop Surg Res

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Background Closed reduction and pinning entry fixation have been proposed as treatment strategies for displaced supracondylar humeral fractures (SCHFs) in children. However, controversy exists regarding the selection of the appropriate procedure. Hence, this meta-analysis was conducted to compare the effect of lateral and crossed pin fixation for pediatric SCHFs, providing a reference for clinical treatment. Methods Online databases were systematically searched for randomized controlled trials (RCTs) comparing lateral pinning entry and crossed pinning entry for children with SCHFs. The primary endpoints were iatrogenic ulnar nerve injuries, complications, and radiographic and functional outcomes. Results Our results showed that iatrogenic ulnar nerve injuries occurred more commonly in the crossed pinning entry group than in the lateral pinning entry group (RR = 4.41, 95% CI 1.97–9.86, P < 0.05). However, its risk between the crossed pinning with mini-open incisions group and the lateral pinning entry group was not significantly different (RR = 1.58, 95% CI 0.008–29.57, P = 0.76). The loss of reduction risk was higher in the lateral pinning entry group than in the crossed pinning entry group (RR = 0.66; 95% CI 0.49–0.89, P < 0.05). There were no significant differences in the carry angle, Baumann angle, Flynn scores, infections, and other complications between these two groups. Conclusions The crossed pinning entry with mini-open incision technique reduced the loss of reduction risk, and the risk of iatrogenic ulnar nerve injury was lower than in the lateral pinning entry group. The crossed pinning entry with mini-open incision technique is an effective therapeutic strategy for managing displaced supracondylar humeral fractures in children.

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Section: Methodsmentioning

confidence: 99%

Section: Effects Of Interventionsmentioning

confidence: 99%

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

Zhao

Liu

et al. 2021

J Orthop Surg Res

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“…Stipriai dislokuotas lūžis, be žievės kontakto su lūžgaliu, gali būti su rotaciniu poslinkiu metodas. Šio metodo esmė, jog kitaip nei kryžminio perkutaninės osteosintezės Kiršnerio strypais (POKS) metodo atveju, antrasis Kiršnerio strypas į medialinį krumplį veriamas iš lateralinės pusės, todėl alkūninis nervas "nepakimba" ant medialiai įverto strypo, taip sumažinant neurologinių komplikacijų riziką [19][20][21]. Dorgan metodas laikomas sudėtingesniu, nei tradicinis kryžminis POKS metodas, todėl mokslininkų tyrimai buvo nukreipti šio metodo modifikavimui.…”

Section: Tipas II Tipas Iii Tipas Nedislokuotas Lūžis Iš Dalies Dislo...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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“…Так, за даними ВООЗ травматизм та насилля є основною причиною смерті дітей у всьому світі. Щорічно у світі від травматизму гине біля 1 мільйона дітей у віці до 18 років [3,7,9]. Одні з найчастіших пошкоджень дистального кінця плечової кості є черезвиросткові та надвиросткові переломи плечової кістки, що складають 47,5-80% КЛІНІЧНА МЕДИЦИНА від всіх внутрішньосуглобових переломів ділянки ліктьового суглобу у дітей [5,11,20].…”

Section: вступunclassified

Differential Therapeutic Tactics for Complicated Metaphysical Fractures of the Distal Humerus in Children

Trutyak¹,

Oboaranets

2020

Clin. and prev. med.

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Introduction: One of the most common injuries of the distal end of the humerus is through condylar and supraorbital fractures of the humerus, which account for 47.5-80% of all intra-articular fractures of the elbow in children [5,11,20]. Among the injuries of the distal humerus, condylar and supraorbital fractures are the most common and are one of the most common domestic injuries in children aged 3 to 12 years. Objective: to optimize the diagnosis and treatment tactics in children with complicated supragingival and supracondylar fractures of the humerus using the developed protocol scheme of medical care for victims with supragingival and supraglottic fractures of the humerus. Materials and methods: Our work is based on a retrospective analysis of the treatment of 255 patients treated at the Lviv City Children's Hospital for the period 2013-2017. Results: in the first group, conservative treatment was performed in 86 victims, which was 65.6% of the group. In 69 (80.2%) in the future conservative method of treatment remained the main. In 17 (19.8%) victims, the conservative method was replaced by surgery. In the second group, conservative treatment was performed in 72 cases, which was 58.1% of the group, but it was replaced by surgery only in 3 (4.2%) cases. Surgical treatment was performed in 62 (47.3% 0 victims of the first group and in 55 (44.3%) victims of the second group. Analysis of treatment results showed that in the first group complications were observed in 21.0% of cases, and in the second group Among the victims of the first group, anatomical complications were noted in 38.4%, and in the second group they were not present at all.Functional complications also prevailed in the first group, which was found in almost twice as often as in the second group. treatment in the first group was 9.2 ± 0.5 days, in the second group - 6.5 ± 0.4 days. Conclusions: Negative results of treatment are caused by the prevalence of complications of fractures of the distal humerus, high vulnerability of the post-traumatic elbow joint, as well as the fine anatomical organization of the distal humerus. The introduction of a unified protocol scheme for the treatment of condylar and supragingival fractures of the humerus in pediatric patients has significantly improved both the anatomical and functional outcomes of treatment of patients in this category.

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A prospective randomised non-blinded comparison of conventional and Dorgan’s crossed pins for paediatric supracondylar humeral fractures

Cited by 16 publications

References 17 publications

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials

Perkutaninės Osteosintezės Metodų Taikymas Vaikų Žastikaulio Viršgumburinių Lūžių Gydymui

Differential Therapeutic Tactics for Complicated Metaphysical Fractures of the Distal Humerus in Children

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