Outcome of displaced supracondylar fractures in children after manipulation and backslab

Pretorius, J.C.; Rollinson, P; Rasool, Mahaboobkhan

doi:10.17159/2309-8309/2015/v14n1a4

Cited by 5 publications

(8 citation statements)

References 35 publications

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“…Six patients (33.33%) presented with weak radial pulse with swollen elbow, under fluoroscopy emergency manipulative reduction with crossed k-wire fixation done, and limb regained perfusion. Two patients (5%) presented with preoperative ulnar nerve neuropraxia and two (5%) had iatrogenic nerve injury after 03 months they became fully recovered, which was similar to 2% to 6% reported in a literature6 . In this study, 2(5%) patients developed pin tract infections, healed after removal of k wire and oral antibiotics.…”

supporting

confidence: 84%

“…At that time radiograph of both the elbows were taken and assessed both clinically and radiologically for carrying angle and range of motion of elbow. Clinical outcome was assessed by using Flynn's criteria 6 and compared with the normal elbow.…”

Section: II Iiimentioning

confidence: 99%

“…The preferred method involves closed reduction and Kirschner wire fixation, with variable number of pins and configuration, either medial and lateral or only lateral wires, which can be either parallel or crossed. Open reduction is generally reserved for irreducible fractures, vascular compromise and open injuries 6 . The aim of our study is to evaluate demographic and clinical features and treatment outcome of the patients having supra condylar fracture who underwent closed reduction and splinting, closed reduction and percutaneous wiring or ORIF with k wire.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Paediatric Supra Condylar Fracture Humerus

Haque¹,

Ahmed²,

Haque

et al. 2020

J. Armed Forces Med. Coll.

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Introduction: One of the most frequent elbow fractures in childhood, is supracondylar fracture whichrequires rapid diagnosis and treatment. It is usually associated with neurovascular, functional problems and deformity. Objectives: To assess demographic, clinical features and treatment outcomes of the patients who underwent closed reduction and splinting, stabilization by percutaneous pinning or Open Reduction and Internal Fixation(ORIF). Materials and Methods: This retrospective study was conducted in the department of orthopedic surgery, CMH, Bogura from June 2017 to December 2018. The inclusion criteria was Gartland type I,II,III fracture who attended in emergency and casualty, between 2 to 13 years of age. Total 40 patients with the mean age 7.5 years were included in the study group. Results: All were closed fractures, 2flexion and 38 extension type. Two (5%) Gartland type I, 24(60%) and 14(35%) had type II and III fracture respectively. 2(5%) were treated by cast immobilization,8(20%)of type llby closed reduction & splinting, 22(55%) and 8(20%) of type ll&lll by crossed k-wire or by ORIF respectively. According to Flynn’s criteria our study shows 33(82.5%) excellent, 4(10%) good, 2(5%) fair and 1(2.5%) poor outcome.4(10%) had ulnar nerve neuropraxia, 1(2.5%) elbow stiffness,1(2.5%) cubitusvarus, 2(5%) experienced superficial pin tract infection. Conclusion: Management of supracondylar fracture should be decided according to patient’s age, fracture pattern and deformity status. Closed reduction and stabilization by percutaneous wiring provides an effective and safe treatment, when failed, open fractures or associated neurovascular complications ORIF should be preferred. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 171-174

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supporting

confidence: 84%

Section: II Iiimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of Paediatric Supra Condylar Fracture Humerus

Haque¹,

Ahmed²,

Haque

et al. 2020

J. Armed Forces Med. Coll.

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“…Our research further supports the fact that a good outcome can be obtained with this method of treatment. It was shown in this study that 95.24% of cases had Excellent to good result using Flynn's original criteria of assessment [11] with 7.3 months of average tracking [15]. None had varus deformity > 20°.…”

Section: Discussionmentioning

confidence: 59%

Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children

Trung¹,

Van²,

Huu³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Pediatric supracondylar humerus fracture (SHF) is a complicated injury which can result in severe sequela. Nowadays, closed reduction and percutaneous pinning (CRPP) is the most popular treatment. AIM: This study had two aims (1) checking the result of treating pediatric SHF patients without neurovascular injury by CRPP under image intensifier, and (2) analysing neurovascular complications of CRPP in treating these patients. METHODS: We conducted a research on 42 patients from February 2018 to March 2019. The age of patients ranged from 3 to 11 years old, with a mean of 5. There was a male predominance with a male / female ratio of 3/1. The average duration of the procedure was 46 minutes, and there was no failed case. RESULTS: Result evaluation based on Flynn criteria (1974): 85.74 % excellent, 9.5% good, 2.38% fair, and 2.38% poor. There was 1 patient how got ulnar nerve injury complication after medial-lateral crossed pinning, making up 2.38% of all cases. This case was a late admission – 3 days after being injured – and the elbow was badly swollen, so locating the medial condyle for pin placement was very problematic, this the ulnar nerve could be damaged during K-wire pinning. The K-wires are removed after 4 weeks. CONCLUSION: CRPP under image intensifier in treating pediatric supracondylar humerus fracture is an effective treatment and with good treatment result.

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“…The carrying angle was identified and measured as formed between the axis of a radially deviated forearm and the axis of the humerus [16]. The change in the carrying angle and the loss of motion was determined by comparing the affected arm with the unaffected arm [17].…”

Section: Data Collectionmentioning

confidence: 99%

Comparative Effectiveness of Closed Reduction With Percutaneous Pinning and Open Reduction With Internal Fixation in the Operative Management of Pediatric Type III Supracondylar Fractures

Abousaleh¹,

Zeidan²,

Mukhtar³

et al. 2022

Cureus

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BackgroundSupracondylar fracture with total displacement is classified as Gartland type 3. The operative management for this type of fracture can be closed reduction with percutaneous pinning (CRPP) or open reduction with internal fixation (ORIF). This study aims to determine whether CRPP or ORIF led to smaller changes in Baumann's angle, the carrying angle, loss of motion, and complication when treating pediatric supracondylar fractures. MethodologyIn a retrospective cohort design, pediatric patients presenting with supracondylar fractures at a tertiary care hospital in Bahrain between March and October of 2021 were enrolled. The collected data included age, gender, nationality, mechanism of injury, neurovascular status, type of surgery performed, follow-up period, range of motion, complications, Baumann's angle, carrying angle, and loss of motion. The changes in Baumann's angle, carrying angle, and reduction sufficiency were compared to the literature using Flynn's criteria for supracondylar fractures. ResultsThis study included the records of 60 patients with supracondylar fractures. In total, 28 patients underwent CRPP (group A), whereas 32 underwent ORIF (group B). A statistically significant difference (p = 0.037) between group A and group B was noted when combining the loss of carrying angle scores and the loss of motion scores to form the final Flynn score. In group A, 26 (92.8%) cases had satisfactory results; 75% of these cases were excellent or good. According to Flynn's criteria, all patients in group B were satisfactory; 93.75% of these cases were excellent or good. The loss of motion was significantly different between the two groups (p = 0.038). The mean loss of carrying angle was significantly different between the two groups, with 5.51 ± 3.03 degrees for group A and 4.23 ± 1.85 degrees for group B (p = 0.023). The study had only two cases with unsatisfactory ratings belonging to group A. ConclusionsIn pediatric patients presenting with type 3 supracondylar fractures, when compared to CRPP, ORIF was associated with less loss of motion, less loss of carrying angle, higher overall satisfactory results according to Flynn's criteria, and fewer complications.

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Outcome of displaced supracondylar fractures in children after manipulation and backslab

Cited by 5 publications

References 35 publications

Treatment of Paediatric Supra Condylar Fracture Humerus

Treatment of Paediatric Supra Condylar Fracture Humerus

Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children

Comparative Effectiveness of Closed Reduction With Percutaneous Pinning and Open Reduction With Internal Fixation in the Operative Management of Pediatric Type III Supracondylar Fractures

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