Gartland types IIB and III supracondylar fractures of the humerus in children: is Blount's method effective and safe?
| Autor: | Matthieu Wargny, Franck Accadbled, Aissa Ibnoulkhatib, Jérôme Sales de Gauzy, Thuy-Trang Pham, Abdelaziz Abid, Xavier Bayle-Iniguez |
|---|---|
| Přispěvatelé: | Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation Humeral Fractures medicine.medical_specialty Adolescent Radiography Elbow Médecine humaine et pathologie Fracture Fixation Internal 03 medical and health sciences Postoperative Complications 0302 clinical medicine Blount's method Deformity Humans Medicine Orthopedics and Sports Medicine Humerus 030212 general & internal medicine Child Children Retrospective Studies 030222 orthopedics business.industry Infant Mean age General Medicine medicine.disease Closed reduction Confidence interval Surgery Open Fracture Reduction Treatment Outcome medicine.anatomical_structure Cubitus varus Child Preschool Supracondylar fracture Female medicine.symptom Radiology business Complication Gartland IIB and III |
| ISSN: | 2003-2013 |
| Popis: | BACKGROUND: Blount's method is controversial for the treatment of Gartland types IIB and III supracondylar fracture of the humerus (SCFH) in children. The purpose of this study was to evaluate the clinical and radiologic outcomes and the failure and complication rates. METHODS: All types IIB and III SCFH treated with Blount's method from 2003-2013 were included in this retrospective single-center study. Clinical assessment was performed according to Flynn criteria. Baumann angle, anteversion angle, anterior humeral line, and humeroulnar angle were measured for radiographic assessment. RESULTS: Among 447 children with types IIB and III SCHF, 339 were treated according to Blount's method. There were 173 boys (51%), and the mean age was 6.3 years (1-14 years); 71% were type III. Mean time to surgery was 5.7 hours. According to Flynn criteria, results were satisfactory in 91% of cases. No compartment syndrome was encountered. There were 16 (4.7%) secondary displacements requiring surgical revision. Five (1.9%) children developed a cubitus varus deformity. At latest follow-up, the mean Baumann angle was 74.7° (95% confidence interval, 74.1-75.3), the mean anteversion angle was 39.9° (95% confidence interval, 39.5-40.3), the anterior humeral line was normal in 87.6% of cases, and the mean humeroulnar angle was 8.7°. CONCLUSION: Blount's method is appropriate to manage types IIB and III SCFH, provided anatomic and stable reduction is obtained. |
| Databáze: | OpenAIRE |
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