Interventions for treating supracondylar elbow fractures in children

Marson, Ben; Craxford, Simon; Price, K; Ollivere, B.

doi:10.1002/14651858.cd013609

Cited by 4 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies showed that, pin fixation method can avoid ulnar nerve damage however, this construct is thought not be a safe biomechanically. 13,14 Few other studies also suggest use of third wire to avoid distal fragment displacement. But it can elevate the chances of pin penetration in joints and increased risk of infection.…”

Section: Discussionmentioning

confidence: 99%

Supracondylar Displaced Fracture of Elbow in Children Treated with Closed Reduction and Percutaneous K Wire Fixation

Moazzam¹,

Momin²,

Saeed³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Objective: To compare the closed reduction and percutaneous K wire fixation method outcomes in the treatment of supracondylar displaced fracture of elbow in children. Study Design: Prospective study Place and Duration of Study: Department of Orthopaedics, Arif Memorial Teaching Hospital, Lahore from 2nd April 2021 to 31st September 2021. Methodology: One hundred and seventy children were included. Those children having supracondylar displaced fractures of elbow with a grade 3 were included in the study as participant. K wires of 1.5-2cm were used after closed reductions were satisfactorily achieved. Padded-Back slabs at posterior position of elbow were applied. At 2 weeks’ suture removal and pin configuration was also observed. Callus production was observed through radiological x ray images. Results: Majority of the children belonged to the age group of 6-10 years. There were 59.4% males while 40.58% were females. Within the total number of cases 55% were administered two lateral parallel K wires while 45% were administered cross K wire. Pin tract infection was formed in 2.5% of lateral K wire cases while it was observed in only 1.2 % of Cross wire cases. Most of the children got the fracture while playing a sport. The recovery phase was of 3.5 months while fracture joined in a mean value of 1 month. Conclusion: Lateral percutaneous pin technique for the management of supracondylar fracture of humerus bone is a more suitable method and offers same results without involvement of iatrogenic ulnar nerve injury. Keywords: Humerus, Ulnar nerve, Pin method, K-wire, Deformation

show abstract

Section: Discussionmentioning

confidence: 99%

Supracondylar Displaced Fracture of Elbow in Children Treated with Closed Reduction and Percutaneous K Wire Fixation

Moazzam¹,

Momin²,

Saeed³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…This review from Nottingham (UK) found a number of clinically important comparisons for interventions when treating paediatric supracondylar fractures of the elbow. 3 The majority of studies reviewed looked at the very relevant comparison of retrograde lateral wires compared with retrograde cross-wire configuration. Perhaps not unsurprisingly, lateral wires showed less nerve injury, albeit with low-certainty evidence.…”

Section: Interventions For Treating Supracondylar Elbow Fractures In ...mentioning

confidence: 99%

Cochrane Corner

Das¹

2022

Bone & Joint 360

View full text Add to dashboard Cite

“…The main indications for acute treatment of supracondylar humerus fractures are traumatic neurovascular injury, open fractures and significant fracture dislocation [ 3 , 4 ]. Acute neurovascular injuries are reported in 17% of patients with a dislocated supracondylar humerus fracture [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Supracondylar Humerus Fractures: Should We Avoid Surgery during After-Hours?

et al. 2022

View full text Add to dashboard Cite

Pediatric supracondylar humerus fractures occur frequently. Often, the decision has to be made whether to operate immediately, e.g., during after-hours, or to postpone until office hours. However, the effect of timing of surgery on radiological and clinical outcomes is unclear. This literature review with the PICO methodology found six relevant articles that compared the results of office-hours and after-hours surgery for pediatric supracondylar humerus fractures. The surgical outcomes of both groups in these studies were assessed. One of the articles found a significantly higher “poor fixation rate” in the after-hours group, compared with office hours. Another article found more malunions in the “night” subgroup vs. the “all groups but night” group. A third article found a higher risk of postoperative paresthesia in the “late night” subgroup vs. the “day” group. Lastly, one article reported increased consultant attendance and decreased operative time when postponing to office hours more often. No differences were reported for functional outcomes in any of the articles. Consequently, no strong risks or benefits from surgical treatment during office hours vs. after-hours were found. It appears safe to postpone surgery to office hours if circumstances are not optimal for acute surgery, and if there is no medical contraindication. However, research with a higher level-of-evidence is needed make more definite recommendations.

show abstract

Interventions for treating supracondylar elbow fractures in children

Cited by 4 publications

References 19 publications

Supracondylar Displaced Fracture of Elbow in Children Treated with Closed Reduction and Percutaneous K Wire Fixation

Supracondylar Displaced Fracture of Elbow in Children Treated with Closed Reduction and Percutaneous K Wire Fixation

Cochrane Corner

Pediatric Supracondylar Humerus Fractures: Should We Avoid Surgery during After-Hours?

Contact Info

Product

Resources

About