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[Operating and recovery time in children with humeral fracture]
Irving Quezada-Daniel1, Armando Pérez-Solares
1Hospital Regional "General Ignacio Zaragoza," Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Distrito Federal, México, Mexico. drqueza@hotmail.com
Insights
Closed reduction for pediatric humeral fractures is faster and leads to better range of motion compared to open reduction. This study highlights advantages of closed reduction for pediatric humeral fracture (HF) treatment.
Area of Science:
- Pediatric Orthopedics
- Traumatology
- Surgical Techniques
Background:
- Pediatric humeral fractures (HF) require specialized management for optimal reduction, fixation, and complication prevention.
- Assessing treatment advantages and disadvantages concerning operative time and recovery is crucial.
Purpose of the Study:
- To compare the advantages and disadvantages of open reduction and internal fixation versus closed reduction and pegging for pediatric humeral fractures.
- To evaluate the impact of surgical approach on operating time and post-surgical recovery.
Main Methods:
- A retrospective, comparative study reviewed 108 pediatric patients with Holmberg type II and III humeral fractures.
- Patients were divided into two groups: open reduction with internal fixation and closed reduction with pegging.
Main Results:
- Average operative time was significantly shorter for closed reduction (30.8 minutes) compared to open reduction (60.3 minutes) (p < 0.01).
- Both groups had a 4-week recovery period, but closed reduction resulted in significantly better flexion (38.7 degrees) than open reduction (13.6 degrees).
Conclusions:
- Closed reduction demonstrated a shorter surgical time.
- Closed reduction led to superior clinical recovery, evidenced by greater flexion at four weeks post-surgery.
Background:
humeral fracture (HF) in children requires a specialized management to achieve an adequate reduction and fixation, as well as a prompt attention to prevent complications. Our objective was to show advantages and disadvantages of HF treatment in relation to operating time and post-surgical recovery.
Methods:
Cross study, retrospective, comparative based on the reviewing of 108 patients' files with HF type II and III of Holmberg. There were two groups, one underwent an open reduction and internal fixation and the other one a close reduction and pegging.
Results:
There were 63 males (58.3 %) and 45 females (41.7 %) with an average age of 8.6 years (range: 4 to 14 years), with the right extremity being the most affected in 50.9%; the most frequent fracture was the type III in 77.8 % (84 cases); the average operating time for an open reduction was 60.3 minutes and for a close reduction 30.8 minutes. Student t test showed a statistical difference (p < 0.01). The recovery time was 4 weeks with a flexion of 13.6 degrees for group I. Group II had a 4 week recovery time with an inflection of 38.7 degrees .
Conclusions:
surgical time was shorter in the closed reduction; flexion at four weeks had a better clinical recovery.
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Assessment:
1. Clinical Evaluation:
History: