Reliability of a Modified Gartland Classification of Supracondylar Humerus Fractures

Barton, Kelly L.; Kaminsky, Cornelia K.; Green, Daniel W.; Shean, Christopher J.; Kautz, Steven M.; Skaggs, David L.

doi:10.1097/01241398-200101000-00007

Cited by 72 publications

(25 citation statements)

References 15 publications

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“…One percent was modified Gartland extension type I [1,11,12], 42% were modified Gartland II [1,11,12], 54% were modified Gartland III [1,11,12], and 3% were flexion-type fractures. Forty-five percent of the fractures treated within 12 h of injury were treated by pediatric orthopedists, and 55.1% of these early fractures were treated by nonpediatric orthopedists.…”

Section: Demographic Data and Preoperative Datamentioning

confidence: 99%

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Farley

Patel

Craig

et al. 2008

Journal of Children's Orthopaedics

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Purpose Outcomes in children with supracondylar humerus fractures were stratified by type of treating orthopedic surgeon: pediatric orthopedic surgeon and nonpediatric orthopedic surgeon. Methods The outcome factors in 444 children examined included: open reduction rate, complications, postoperative nerve injury, repinning rate, need for physical therapy, and residual nerve palsy at final follow-up. Results For the severe fractures, significantly more fractures were treated by open reduction in the pediatric orthopedic surgeon group than in the nonpediatric orthopedic surgeon group. There were no other significant differences in outcomes between the fractures treated by the pediatric orthopedic surgeons and nonpediatric orthopedic surgeons. Conclusions This study supports the assertion that both pediatric and nonpediatric orthopedic surgeons in an academic setting have sufficient training, skill, and experience to treat these common injuries.

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Section: Demographic Data and Preoperative Datamentioning

confidence: 99%

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Farley

Patel

Craig

et al. 2008

Journal of Children's Orthopaedics

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“…Males were found to be more commonly involved both in early and late groups which are 63.0 % and 68.4 % respectively. Although some studies have concluded that females are more susceptible to such injures [35][36][37][38][39][40][41] . Both the early and late groups have been evaluated and it has been found that left upper limb extremity has been commonly involved, which is 74.1% in the early group and 57.9% in the late group.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2017

Int. J. Orthop. Sci.

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Purpose: Controversy still persists regarding optimum intervention time for late presentations of supracondylar fracture of humerus in children. We compared outcomes in early and late groups of presentation and management. Study design: We conducted prospective study comparing early and late open reduction and Kirschner wire fixation for Gartland type III supracondylar fracture of humerus in children aged less than 16 years. We analyzed results of 27 cases in early group and 19(8 lost) cases in late group. We compared duration of surgery, range of motion, and Flynn's criteria were used to evaluate outcome. Results: Thirty (65%) patients were male and 15(32.60%) had dominant limb involvement. Injury to surgery time was 53.63±41.03 hours in early group and 338.53±134.31 hours in late group (p<0.005). Pre-operative nerve injury was 6(13%) cases in early group. Bauman's angle at 12 weeks in early group was 70.04± 3.240 & in late group had71.42± 8.329. (p< 0.513). Loss of range of motion between groups was insignificant (p< 0.668). According to Flynn's, results were comparable between groups. Conclusion: We concludes that in cases of Garland type III supracondylar fracture of humerus of children open reduction & k-wire fixation is an effective method of treatment in both groups.

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“…Barton et al [4] evaluated the reliability of the modified Gartland classification, using a version modified by Wilkins et al in 1996 [23], which included three types of fracture based on the amount of displacement and posterior cortical hinge. Type IV and the medial column comminution subtypes had not yet been added at the time of their work.…”

Section: Reliabilitymentioning

confidence: 99%

“…Type IV and the medial column comminution subtypes had not yet been added at the time of their work. Barton et al [4] used five different reviewers of 50 extension-type supracondylar humerus fractures at three different times. They found after a 2-week interval that 90% of the fractures were classified the same way with an intraobserver kappa value of 0.84.…”

Section: Reliabilitymentioning

confidence: 99%

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Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

Alton

Werner

Gee

2015

Clinical Orthopaedics &Amp; Related Research

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Reliability of a Modified Gartland Classification of Supracondylar Humerus Fractures

Cited by 72 publications

References 15 publications

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

Pediatric supracondylar humerus fractures: Treatment by type of orthopedic surgeon

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Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

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