Delayed treatment of supracondylar elbow fractures in children

Yaokreh, Jean Baptiste; Odehouri-Koudou, Thierry; Tembely, Samba; Dieth, A. G.; Kouamé, D.B.; Ouattara, O.; Dick, K.R.

doi:10.1016/j.otsr.2012.07.005

Cited by 21 publications

(9 citation statements)

References 15 publications

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“…Delayed surgery for completely displaced SHF, defined as occurring 72 hours after trauma, is not uncommon in developing countries including China. [ 12 ] In our institution, most patients were transferred from outside medical facilities with limited treatment. Sometimes, the delay could be more than 5 to 7 days.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of delayed Gartland type III supracondylar humeral fractures in children

Rai

Tang

et al. 2020

Medicine

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Radial external fixator has been proposed to treat delayed irreducible Gartland type III supracondylar humeral fracture, and this study aims to compare its effects with crossed pinning in a retrospective fashion. Delayed supracondylar humeral fracture is defined as more than 72 hours after injury, 2 or more than 2 times failed attempts of closed reduction can be deemed as irreducible fracture. Between January 2010 and January 2017, patients of Gartland type III supracondylar fractures of the humerus receiving surgery were all selected and reviewed. Overall, 39 patients fitting the inclusion criteria were chosen for the External Fixator Group and patients for control group of crossed pinning with matched age, sex, and clinical parameters (fracture location, injured side, and fracture type) were selected from the database. Surgery duration, number of intraoperative X-ray images, incidence of ulnar nerve injury, postoperative redisplacement, and function of the elbow joint were recorded and analyzed. In this study, 39 patients treated with radial external fixator had significantly shorter surgery duration, fewer intraoperative X-ray images, and lower incidence of ulnar nerve injury, and postoperative redisplacement than those receiving crossed pinning. Patients in 2 groups displayed similar range of motion for elbow joint at follow-up. Radial external fixator is an effective and safe method to treat Gartland type III supracondylar fractures that were diagnosed late.

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Section: Discussionmentioning

confidence: 99%

Surgical management of delayed Gartland type III supracondylar humeral fractures in children

Rai

Tang

et al. 2020

Medicine

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“…The most common fracture operatively treated at this institution is the supracondylar humerus fracture. To date several studies have been published on the outcomes of these fractures after surgical delay [12][13][14][15][16] . All of the studies reviewed found no increase in the complication rate, which has further allowed surgeons to address these injuries in a more delayed fashion.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Orthopaedic Trauma Surgical Time: An Evaluation of Three Different Models at a Level I Pediatric Trauma Center

Beebe

Arnott

Klamar

et al. 2015

Orthopaedic Surgery

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The institution of more flexible and physician-directed half-call and full-day blocks did result in delays in treatment. However, it also has demonstrated benefits to patients in reducing the number of operative cases performed after weekday peak staffing hours; helped our institution better manage its staffing and financial resources; and provided the treating surgeon flexibility in determining the timing of operative care.

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“…A broad group of disorders in which the central nervous system does not function properly and leads to some form of physical or mental problems Neurological impairment [59,60,83,142,143] An instrument used with a range of patients with musculoskeletal disorders for measuring their health status, including lower and upper mobility, activity level and satisfaction, social support, pain, emotional status, and quality of life, in clinical practice Musculoskeletal Function Assessment [29,124,137] A basic indicator of patient disability and the amount of assistance required for the patient to conduct activities of daily living in 18 categories, focusing on motor and cognitive function Functional Independence Measure [98,127,135,144] Grading rules used for assessing the medical impairment and functional reduction originating from an injury using patients' medical records before and after the injury Grading Medical Impairment [145] A global scale used with patients with brain injuries for rating function outcomes into 5 ordered categories: dead, vegetative state, severe disability, moderate disability, or good recovery Glasgow Outcome Scale [41,81,94,96,[125][126][127][146][147][148][149] The measurement of movement around a specific joint or body part Range of motion [89,98,114,137,139,141] The number of days in which individuals are prescribed to receive antibiotic treatment because of injury Duration of antibiotic use [34] Laboratory tests on examining the blood content such as hormones, ions, lactates, and inflammatory mediators in the blood Hematological findings [32,58,70,…”

Section: Integrated Outcomesmentioning

confidence: 99%

Development and Validation of Indicators for Population Injury Surveillance in Hong Kong: Development and Usability Study

Tung¹,

Wong²,

Ho³

et al. 2022

JMIR Public Health Surveill

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Background Injury is an increasingly pressing global health issue. An effective surveillance system is required to monitor the trends and burden of injuries. Objective This study aimed to identify a set of valid and context-specific injury indicators to facilitate the establishment of an injury surveillance program in Hong Kong. Methods This development of indicators adopted a multiphased modified Delphi research design. A literature search was conducted on academic databases using injury-related search terms in various combinations. A list of potential indicators was sent to a panel of experts from various backgrounds to rate the validity and context-specificity of these indicators. Local hospital data on the selected core indicators were used to examine their applicability in the context of Hong Kong. Results We reviewed 142 articles and identified 55 indicators, which were classified into 4 domains. On the basis of the ratings by the expert panel, 13 indicators were selected as core indicators because of their good validity and high relevance to the local context. Among these indicators, 10 were from the construct of health care service use, and 3 were from the construct of postdischarge outcomes. Regression analyses of local hospitalization data showed that the Hong Kong Safe Community certification status had no association with 5 core indicators (admission to intensive care unit, mortality rate, length of intensive care unit stay, need for a rehabilitation facility, and long-term behavioral and emotional outcomes), negative associations with 4 core indicators (operative intervention, infection rate, length of hospitalization, and disability-adjusted life years), and positive associations with the remaining 4 core indicators (attendance to accident and emergency department, discharge rate, suicide rate, and hospitalization rate after attending the accident and emergency department). These results confirmed the validity of the selected core indicators for the quantification of injury burden and evaluation of injury-related services, although some indicators may better measure the consequences of severe injuries. Conclusions This study developed a set of injury outcome indicators that would be useful for monitoring injury trends and burdens in Hong Kong.

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Delayed treatment of supracondylar elbow fractures in children

Abstract: Level IV, retrospective study.

Cited by 21 publications

References 15 publications

Surgical management of delayed Gartland type III supracondylar humeral fractures in children

Surgical management of delayed Gartland type III supracondylar humeral fractures in children

Utilization of Orthopaedic Trauma Surgical Time: An Evaluation of Three Different Models at a Level I Pediatric Trauma Center

Development and Validation of Indicators for Population Injury Surveillance in Hong Kong: Development and Usability Study

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