Year-end Sale % OFF 
Abstract
The goal of this study was to evaluate the treatment and recovery of patients treated for Gartland type III supracondylar humerus fractures in order to determine if postponing treatment leads to a higher rate of open surgical treatment or complications. A retrospective study was conducted examining the medical records of children with Gartland type III supracondylar humerus fractures at our institution for a two-year period. The patients included in the study were treated with closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF). After exclusions, 134 patients were included in the study, with an average age of 5.6years. The patients were grouped according to whether their treatment was postponed (39.6%) or immediate (60.4%). The majority of all patients were treated using CRPP: 46 (86.8%) of the postponed patients and 75 (92.6%) of the immediate patients. Very few postsurgical complications occurred in the patients; there was only one (1.6%) case of iatrogenic nerve injury in a postponed patient as well as four (3.8%) cases of loss of carrying angle: one (2.3%) in postponed patients and three (4.8%) in immediate patients. Postponing treatment of type III supracondylar humerus fractures in children did not lead to an increase in open surgical treatment; nor did it lead to an increase in complications.
Highlights
Supracondylar humerus fractures are some of the most common fractures experienced by the pediatric population [1,2,3,4]
The patients included in the study were treated with closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF)
We collected information regarding preoperative risk factors, including the presence of a radial pulse, severe swelling, ecchymosis, and nerve injury, to determine if there was a correlation between these factors and postponing treatment or the need for open surgery
Summary
Supracondylar humerus fractures are some of the most common fractures experienced by the pediatric population [1,2,3,4]. Pediatric supracondylar humerus fractures were treated urgently, and taken for surgical treatment without delay. This practice was instituted to avoid potential complications including nerve injury, compartment syndrome, and a need to perform open surgery, all of which were thought to result from delaying treatment [5]. Recent investigations evaluating children with supracondylar humerus fractures found no difference between patients with early or delayed treatment for the following parameters: functional status including carrying angle or Baumann’s angle, grip strength, and range of motion; rates of complications including pintrack infection, nerve injury, and occurrence of compartment syndrome; as well as the need for open surgery [6,7,8]. There is still some debate as to whether these fractures should be treated as urgent cases with early intervention, or if patients with
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
