Pediatric Supracondylar Fracture of the Humerus with Sideward Displacement

被引:0
作者
Zaidman, Michael [1 ]
Eidelman, Mark [2 ]
Abu-Dalu, Khaled [2 ]
Kotlarsky, Pavel [2 ]
机构
[1] Hadassah Hebrew Univ, Orthoped Dept, Med Ctr, IL-9112001 Jerusalem, Israel
[2] Ruth Rappoport Childrens Hosp, Pediat Orthoped, Rambam Hlth Care Campus, IL-3525408 Haifa, Israel
来源
SURGICAL TECHNIQUES DEVELOPMENT | 2023年 / 12卷 / 03期
关键词
supracondylar humeral fracture; sideward displacement; percutaneous pinning; closed reduction; medial pin insertion; pediatric elbow fracture; Gartland-type fracture; CRPP; ORIF; CHILDREN; CLASSIFICATION; RELIABILITY; MANAGEMENT; PIN;
D O I
10.3390/std12030010
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Supracondylar humeral fracture is probably the most common elbow fracture in children requiring surgical intervention. We observed a subtype of pediatric supracondylar humeral fracture with a sideward translation, without substantial displacement in the sagittal plane on initial radiographs. The purpose of this study was to calculate the incidence of this fracture subtype and suggest a modification to the standard operative technique, to achieve the desired fracture alignment and fixation. Methods: We reviewed the clinical records and radiographs of all pediatric patients with supracondylar humeral fractures surgically treated in our institution between the years 2006 and 2014. The fracture types, fixation configuration and any complications were recorded. Results: Overall, 263 consecutive patients were included. The incidence of supracondylar fracture of the humerus with solely sideward displacement was 6%. The fracture was characterized clinically and radiographically. We proposed a modification to the standard operative technique for this fracture subtype for successful closed reduction and percutaneous pinning. Conclusions: Special attention to this fracture subtype, including appropriate operating room setup and the application of a suitable reduction and pinning technique, has the potential to achieve successful results and avoid the need for open reduction.
引用
收藏
页码:107 / 118
页数:12
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