Postponing surgery of paediatric supracondylar humerus fractures to office hours increases consultant attendance in operations and saves operative room time
| Autor: | Aarno Y Nietosvaara, Noora Tuomilehto, Päivi Salminen, Antti Sommarhem |
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| Přispěvatelé: | Clinicum, University of Helsinki, Children's Hospital, Lastenkirurgian yksikkö, HUS Children and Adolescents, HUS Musculoskeletal and Plastic Surgery |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment DELAYED TREATMENT 03 medical and health sciences 0302 clinical medicine 3123 Gynaecology and paediatrics Original Clinical Article operative treatment medicine Operation time Orthopedics and Sports Medicine Humerus 030212 general & internal medicine Children Reduction (orthopedic surgery) Supracondylar humerus fracture Fixation (histology) supracondylar humerus fracture 030222 orthopedics business.industry Attendance Operation room NEED ANGLE 3126 Surgery anesthesiology intensive care radiology medicine.disease PERIOPERATIVE COMPLICATIONS 3. Good health Surgery REDUCTION medicine.anatomical_structure Blood circulation Pediatrics Perinatology and Child Health business |
| Zdroj: | Journal of Children's Orthopaedics |
| ISSN: | 1863-2548 1863-2521 |
| Popis: | Purpose To assess if postponing surgery of paediatric supracondylar humerus fractures (SCHF) without compromised blood circulation to office hours can improve the quality of reduction and pin fixation and decrease complications. Methods In 2004, night-time (0am to 7am) surgery was allowed only for children with compromised blood circulation. Number of open reductions, surgeons experience, operation time, quality of reduction (Baumann angle, anterior humeral line crossing point with capitellum) and pin fixation as well as the number of complications were compared in 100 children before (A) and 100 after (B) the new protocol. Surgery was commenced during office hours (8am to 3pm) in 27% (A) versus 55% (B) and delay to surgery from admission exceeded six hours in 25% (A) versus 52% (B) of the children. Results Open reduction was performed in eight (A) versus 11 (B) children. In group A, 40% were operated on by a registrar alone compared with 14% in group B. Mean operation room time decreased by 11 minutes in group B. Radiographic alignment was satisfactory at fracture union in 68% (A) versus 68% (B) and radiologically stable pin fixation in 42% (A) versus 55% (B) of children (p = 0.08). The was no statistical difference in admission time, re-reductions, infections, permanent iatrogenic nerve injuries or corrective osteotomies between the patient groups. Conclusions No statistical difference in quality of reduction or pin fixation or in number of complications was observed. Postponing operative treatment of SCHF without vascular compromise increased consultant attendance in operations and decreased operative room time. Level of Evidence III - retrospective comparative study |
| Databáze: | OpenAIRE |
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