Treatment of Multidirectionally Unstable Supracondylar Humeral Fractures in Children

Leitch, Kellie; Kay, Robert M.; Femino, John; Tolo, Vernon T.; Storer, S.K.; Skaggs, David L.

doi:10.2106/00004623-200605000-00008

Cited by 93 publications

(69 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In another study, which was consisted of 14 patients, open reduction was necessary for four patients (28.5%). [13] In the present study, open reduction was required for 27.3% (n=6) of type 3 fractures. Although open reduction is accepted as a good option for these fractures' treatment, our study demonstrates favorable results in patients who are treated by CRPP (Table V).…”

Section: Discussionmentioning

confidence: 64%

See 1 more Smart Citation

Flexion type supracondylar humerus fractures: 12 year experience of a pediatric orthopedics clinic

Turgut¹,

Kalenderer²,

Bozoglan³

et al. 2015

Eklem Hastalik Cerrahisi

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 64%

“…[7] Changing the flexion type 3 injury to unstable extension type injury. [13] can make the insertion of the wires easier in flexion position as we performed in three patients.…”

Section: Discussionmentioning

confidence: 94%

Flexion type supracondylar humerus fractures: 12 year experience of a pediatric orthopedics clinic

Turgut¹,

Kalenderer²,

Bozoglan³

et al. 2015

Eklem Hastalik Cerrahisi

View full text Add to dashboard Cite

show abstract

“…Type III and type IV (described by Leitch et al [15] as being like fractures with multidirectional instability) are considered to be totally displaced with an incidence of 16.7% [16,17].…”

Section: Introductionmentioning

confidence: 99%

Surgical approaches for open reduction and pinning in severely displaced supracondylar humerus fractures in children: A systematic review

Mazzini

Martín

Esteban

2010

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose There is no clear evidence in the actual literature regarding which of the surgical approaches could bring about the best functional, cosmetic, and radiological outcomes, as well as fewer complications, when an open reduction and pinning of a severely displaced supracondylar humerus fracture is performed. We, therefore, performed a systematic review of the English literature to investigate the existing evidence regarding this issue. Methods A MEDLINE and EMBASE databases search was performed to identify articles that focused on the functional, cosmetic, and radiological outcomes, as well as post-surgical complications, regarding different surgical approaches used for open reduction and pinning in severely displaced supracondylar humerus fractures in children. One hundred and ninety-four articles were identified, of which seven were included for review. Data analysis included weighted means for all contingency tables and the Chi-square test. Standardized residues were studied when the Chi-square test was statistically significant. Statistical analyses were conducted using Stata 9.1/SE (StataCorp., College Station, TX) and P-values lower than 0.05 were considered to be statistically significant for all analyses. Results For functional outcome, a high frequency of excellent results was found within the lateral and medial approaches, and a high frequency of good results within the anterior approach. A high frequency of poor results was found within the posterior approach. For cosmetic outcome, there was a high frequency of fair results within the posterior and lateral approaches, and a high frequency of poor results within the posterior approach. No statistically significant difference regarding time to union, as well as complications, was found. Conclusion Our results suggest that a combined anteromedial approach could be the method which allows the achievement of better functional and cosmetic outcome according to Flynn's criteria. Time to union, as well as post-surgical complications, should not be an issue regarding surgical approaches used for open reduction and pinning in these fractures.

show abstract

“…2) and the recommendation for closed reduction with percutaneous pinning. In 2006, Leitch et al [16] suggested the addition of a type IV injury believed to be difficult to treat owing to multiplanar instability, identified intraoperatively, from no intact periosteal hinge [16] (Fig. 3; Table 1).…”

Section: Volume 473 Number 2 February 2015mentioning

confidence: 99%

Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

Alton

Werner

Gee

2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Treatment of Multidirectionally Unstable Supracondylar Humeral Fractures in Children

Cited by 93 publications

References 4 publications

Flexion type supracondylar humerus fractures: 12 year experience of a pediatric orthopedics clinic

Flexion type supracondylar humerus fractures: 12 year experience of a pediatric orthopedics clinic

Surgical approaches for open reduction and pinning in severely displaced supracondylar humerus fractures in children: A systematic review

Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

Contact Info

Product

Resources

About