Displaced Type II Extension Supracondylar Humerus Fractures
| Autor: | Barbara Nolte, Eric J. Wall, Susan L. Foad, Brent M. Wiersema, Shital N. Parikh |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Humeral Fractures medicine.medical_specialty medicine.medical_treatment Bone Nails Elbow Joint medicine Humans Humerus Orthopedics and Sports Medicine Range of Motion Articular Reduction (orthopedic surgery) Retrospective Studies Supracondylar humerus fracture business.industry Infant General Medicine medicine.disease Surgery Radiography Casts Surgical medicine.anatomical_structure Child Preschool Orthopedic surgery Pediatrics Perinatology and Child Health Female Range of motion business Fracture reduction |
| Zdroj: | Journal of Pediatric Orthopaedics. 24:380-384 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/01241398-200407000-00007 |
| Popis: | The treatment of a displaced type II extension supracondylar humerus fracture is controversial. Many authors recommend that all displaced type II fractures be surgically pinned. The purpose of this study was to determine the success of reduction and casting (without pinning) in maintaining the alignment of type II fractures. Of the 25 elbows that underwent an initial reduction in the emergency room, 18 (72%) maintained alignment. Seven fractures lost position, and five of the seven patients underwent secondary reduction and pinning. Twenty-three of the 25 (92%) elbows had a satisfactory outcome and 2 of the 25 (8%) had an unsatisfactory outcome according to the Flynn criteria. All 24 patients were satisfied with the treatment on a satisfaction survey. An attempt at closed reduction and casting, with selective pinning of the fractures that lose position, appears justified if close follow-up can be maintained. |
| Databáze: | OpenAIRE |
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