Journal of Musculoskeletal Trauma

Original Articles

Treatment of Completely Displaced Supracondylar Fracture of Humerus in Children: Bu Hwan Kim, Mu Jung Heo, Won Jun Hwang; J Korean Soc Fract 2003;16(4):585-591. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.585

PURPOSE
We performed a retrospective study of completely displaced supracondylar fracture of humerus in children to evaluate the result of primary open reduction and internal fixation for this injuries, and also to know whether it is recommendable or not for such injuries.
MATERIALS AND METHODS
For 5 years duration from March '96 to Feb. '01, we treated 58 cases of completely displaced supracondylar fractures of humerus in children. Among them we performed primary open reduction and internal fixation of this fracture in 14 cases. We followed up those cases more than 18 months and evaluated the results by Flynn et al. and Mark et al. criteria.
RESULTS
Eleven of them resulted in excellent grading by both Flynn and Mark criteria. Three cases not involved in excellent grading proved to be good result by Mark criteria. But by Flynn criteria, 2 cases showed good results and the other one proved to be fair. In all cases, the patient and parents were satisfied cosmetically and functionally. Only in one case, the recorded grading was different, fair by Flynn and good by Mark criteria.
CONCLUSION
Primary open reduction and internal fixation in the treatment of completely displaced and not easily reduced supracondylar fracture of humerus in children resulted excellent and good results with few complications, and patients were satisfied with the results functionally and cosmetically. So we recommend proceeding to primary open treatment and internal fixation for these difficult fractures with low threshold to open reduction.

Citations

Citations to this article as recorded by

Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique
H.-Y. Lee, S.-J. Kim
The Journal of Bone and Joint Surgery. British volume.2007; 89-B(5): 646. CrossRef

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A Study of the Treatments and the Measurements of Carrying Angle on the Supracondylar Fracture of the Humerus in Children: Young Sun Song, Sang Hyeon Yun; J Korean Soc Fract 1997;10(4):956-963. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.956

Abstract PDF

Supracondylar fracture of the humerus is the most common elbow injury in children and adolescents, and it also has many considerable complications. Especially, cubitus varus deformity out of the complications is very unsatisfactory result to the patient in recovery periods in functional and cosmetic viewpoints. Not only nearly or perfect anatomic reduction but aiso accurate measurement of varying angle at the fracture site were necessary to minimize this potential problems. Therefore, the author measured the angles of 250 patients elbow X-ray using Trochlea-Capitellum angle method, a new method of radiological assessment for comparison to carrying angle & Baumanns angle methods. And it appears that this method has statistically less error risk and to be easy to measure angle on X-ray films. Next, the author reports the excellent results of K-wire percutaneous fixation treatment compare to open reduction and internal fixation with statistical siginficance. From the authors retrospective clinical & radiological study of 250 supracondylar fractures, the following results were obtained. 1. Mean differences of the angle between the normal & injured arm were 7.25 in carrying angle, 5.07 in Baumanns angle, and 3.97 in Trochlear-Capitellum angle. 2. K-wire percutaneous fixation group patients stayed in the hospital only average 3.3 days, shorter than average 8.9 days open reduction and internal fixation group. 3. T-test of T-C angles between the K-wire percutaneous fixation and open reduction & internal fixation group show no significant difference. Therefore the former treatment is recommandable. 4. According to the Flynns evaluation, the results of K-wire percutaneous fixation treatment were Excellent in 87 cases(69.1%), Good in 28 cases(22.2%), and Fair in 11 cases(8.7%).

Citations

Citations to this article as recorded by

Reliability of the Radiographic Parameters in Pediatric Supracondylar Fracture
Yoon Hae Kwak, Dong Jou Shin, Kun Bo Park
Journal of the Korean Fracture Society.2010; 23(1): 90. CrossRef

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