Free Fracture Fragment Predicts Poorer Outcomes in Adolescents With Delbet II Femoral Neck Fracture

Pan, Yuancheng; Lu, Xiaokun; Lin, Rong; Zhang, Xinzhao; Mei, Haibo; Guo, Yunfei; Chen, Shunyou

doi:10.1016/j.jss.2019.10.016

Cited by 2 publications

(1 citation statement)

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“…It seemed that open reduction, complication of myositis ossificans, older age, longer period of immobilization and more severe injury type would increase the incidence of limited ROM or prolong the recovery in elbow motion [ 20 , 21 ]. Free fracture fragment near the joint is always associated with poor functional outcomes in joint or periarticular fractures [ 22 ]. Myositis ossificans is an extremely rare complication in children that can cause resticted ROM [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

The outcome of loose bone fragments in pediatric supracondylar humerus fractures: a retrospective study

Yang

et al. 2020

Journal of Pediatric Orthopaedics B

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We evaluated the clinical and imaging outcomes of loose bone fragments in children with supracondylar humerus fractures after closed reduction with percutaneous pin (CRPP) fixation. A retrospective review was conducted on 12 children with fragments on imaging after closed reduction of displaced humeral supracondylar fractures (Gartland III). Primary radiographic assessment included fragment outcome, postoperative Baumann angle, carrying angle and loss of reduction. Clinical outcome included the elbow range of motion (ROM), Flynn grade and other complications. Between January 2015 and January 2018, 460 children (2–14 years old) with supracondylar humerus fractures were treated at our center, including 12 (2.6%) with loose bone fragments on postoperative X-ray. Union or absorption of fragments was noted in all 12 patients at 1 year postoperatively, with good radiographic and clinical outcomes. The mean Baumann angle was 15.5° ± 4.3° and the mean carrying angle was 11.2° ± 2.8°. All patients had a normal elbow ROM. Ten patients achieved an excellent and two a good result according to the Flynn criteria. Good results were achieved after CRPP fixation in 12 children with supracondylar humerus fractures and loose bone fragments. The fragments were mainly absorbed or achieved union to the humerus within 1 year.

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Section: Discussionmentioning

confidence: 99%