Treatment of Supracondylar Fracture of the Humerus by Skeletal Traction in an Abduction Splint

Høyer, Andreas

doi:10.2106/00004623-195234030-00016

Cited by 50 publications

(10 citation statements)

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“…There is less agreement, however, with regard to treatment of extra-articular fractures of the distal humerus, with some authors suggesting conservative treatment and others a surgical one [21][22][23][24][25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

The use of parallel pre-contoured plates in the treatment of A and C fractures of the distal humerus

2009

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The purpose of this study was to retrospectively evaluate the clinical and radiological results of fixation with parallel pre-contoured plates in intra-articular and extra-articular distal humerus fractures. We retrospectively evaluate seven cases of type A and six cases of type C fracture treated with the Mayo Clinic Congruent Elbow Plate system (Acumed, Hillsboro, Oregon) after a mean follow-up of 14.8 and 21.3 months, respectively. Mayo Elbow Performance Score (MEPS) was utilized for functional evaluation. Mean MEPS was (92.86 +/- 16.8) in the first group showing 6 excellent and one poor result, while (94.17 +/- 12) showing five excellent and one fair in the second group, showing no significant difference between the two groups (P = 0.87). The mean active motion recovered postoperatively was 120 degrees (+/-34.5 degrees) in type A fractures and 113 degrees (+/-14.7 degrees) in type C fractures, and there was no significant difference (P = 0.67). Complications occurred in 6 of the 13 patients analysed at follow-up (3 radial neuropathy, one ulnar neuropathy, one screw mobilization and one heterotopic ossification). The fractures healed in every patient, and no synthesis failed. The parallel plate system has proved to be extremely useful in the treatment of intra-articular and extra-articular distal humerus fractures. The pre-contoured geometry allows easier reduction and stabilization of complex fractures. The higher stability achieved permits early mobilization, thus obtaining a higher percentage of excellent results.

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Section: Introductionmentioning

confidence: 99%

The use of parallel pre-contoured plates in the treatment of A and C fractures of the distal humerus

2009

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“…Ein Cubitus varus (Abbildung 1a) stellt die häufigste Komplikation nach suprakondylären Frakturen des Humerus dar; die Inzidenz wird mit 3-57% angegeben [3,5,10,14,17]. Ein Cubitus valgus (Abbildung 1b) nach suprakondylären Frakturen wird dagegen selten beschrieben [2,5,14].…”

Section: Vorbemerkungenunclassified

Korrekturosteotomien suprakondylärer Fehlstellungen am Humerus

Linhart

Kraus

2008

Orthop Traumatol

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Between 1998 and 2006, ten children underwent surgery for posttraumatic supracondylar deformity. Correction was achieved by means of three-planar reorientation of the distal end of the humerus. An external fixator was used for stabilization. Preoperatively, all patients showed cosmetic or functional impairment. Follow-up was performed between 1 and 9 years (7.4 years) postoperatively. Subjective, clinical and radiologic criteria were evaluated. Three patients showed excellent, six good and one poor results. Two pin tract infections and one irritation of the ulnar nerve were observed during treatment.

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“…A threaded Kirschner wire has less chance of becoming loose and causing skin tract infection but is more uncomfortable during removal. 276,373 As an alternative, screws are available for placement directly into the olecranon.…”

Section: Unstable Fracturesmentioning

confidence: 99%

Humerus

2000

Skeletal Injury in the Child

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Treatment of Supracondylar Fracture of the Humerus by Skeletal Traction in an Abduction Splint

Cited by 50 publications

References 0 publications

The use of parallel pre-contoured plates in the treatment of A and C fractures of the distal humerus

The use of parallel pre-contoured plates in the treatment of A and C fractures of the distal humerus

Korrekturosteotomien suprakondylärer Fehlstellungen am Humerus

Humerus

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