Korrekturosteotomien suprakondylärer Fehlstellungen am Humerus

Linhart, Wolfgang E.; Kraus, Tanja

doi:10.1007/s00064-008-1411-y

Cited by 15 publications

(5 citation statements)

References 22 publications

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“…Moreover, an immediately postoperative rotational malreduction may limit elbow flexion [10]. Because of this, the rotational deformity group may have required a longer time to recover the full range of elbow motion.…”

Section: Discussionmentioning

confidence: 99%

“…The rotational angle assesses the correct reduction in the axial plane. Although remodeling of the coronal plane malreduction is less reliable, remodeling of the sagittal plane malreduction is believed to be possible [10,11]. The spontaneous correction of rotational malreduction in the axial plane is also believed to be possible [11].…”

Section: Introductionmentioning

confidence: 99%

“…Although there are many studies on SCHF, information on the clinical and radiologic outcomes of rotational malreduction in the axial plane is limited. Several studies reported no relationship between rotational malreduction and clinical outcomes [10]. Moreover, longterm outcomes of rotational malreduction in the axial plane remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures

Seo,

Kim,

Park

et al. 2024

Medicina

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Background and Objectives: Long-term outcomes of immediately postoperative rotational malreduction in the axial plane after operative treatment of supracondylar humeral fractures (SCHF) are unknown. This study aimed to investigate the long-term clinical outcomes and associated factors for immediately postoperative rotational malreduction of SCHF. Materials and methods: In this retrospective case–control study, 88 patients who underwent surgery for Gratland type III SCHF were enrolled between January 2012 and January 2020. Among them, 49 patients had immediately postoperative malrotational reduction (rotational malreduction group) and 39 patients had no rotational deformity (control group). To evaluate the associated factors for immediately postoperative rotational malreduction, demographic data, fracture patterns, physical examination signs, and preoperative radiological parameters were analyzed. To compare the clinical outcomes, operation time, range of motion of the elbow, time from operation to full range of motion, and Flynn criteria were evaluated. The Oxford elbow score was used to investigate long-term clinical outcomes for patients five years after operation. Results: The mean age was 5.7 ± 2.3 years and mean follow-up period was 15.7 ± 4.0 months. The rotational malreduction group had significantly more patients with oblique fracture pattern (p = 0.031) and Pucker sign (p = 0.016) and showed a significantly longer operative time (p = 0.029) than the control group. Although there was no significant difference in the range of elbow motion and the Flynn criteria, the Kaplan–Meier survival curve showed a longer time to recover the full range of elbow motion in the rotational malreduction group (p = 0.040). There were no significant differences in the long-term clinical outcomes assessed using the Oxford elbow score (p = 0.684). Conclusions: Oblique fracture pattern and Pucker sign may be associated with immediately postoperative rotational malreduction in the axial plane. Although patients with immediately postoperative rotational malreduction showed favorable results of long-term clinical outcomes, they required more weeks to recover the full range of elbow motion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures

Seo,

Kim,

Park

et al. 2024

Medicina

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“…Das von uns bevorzugte Verfahren entspricht der Methode nach Linhart und Kraus [20] und wird mittels Fixateur externe und dreidimensionaler suprakondylärer Derotationsosteotomie durchgeführt. Entsprechend der präoperativen Abb.…”

Section: Introductionunclassified

Sekundäre Rekonstruktionen am Ellenbogengelenk im Kindesalter

Frank

Sander

Voth

et al. 2017

Trauma Berufskrankh

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“…Da gerade am Ellbogen durch vorzeitigen Fugenschluss erhebliche Fehlstellungen entstehen können, werden die Korrekturmöglichkeiten am suprakondylären Humerus [3] Behandlung geworden. Von Weinberg et al [13] wird daher die schonende intramedulläre elastische Marknagelung (ESIN) in der richtigen Technik dargestellt.…”

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Editorial: Operationstechniken in der Kindertraumatologie

Marzi¹,

Blauth²

2008

Orthop Traumatol

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Korrekturosteotomien suprakondylärer Fehlstellungen am Humerus

Cited by 15 publications

References 22 publications

Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures

Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures

Sekundäre Rekonstruktionen am Ellenbogengelenk im Kindesalter

Editorial: Operationstechniken in der Kindertraumatologie

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