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Transarticular fixation for severely displaced supracondylar fractures in children
D A Archibald1, J A Roberts, M G Smith
1Royal Hospital for Sick Children, Glasgow, Scotland.
Insights
Open reduction with medial incision and transarticular pinning effectively treats severely displaced supracondylar humerus fractures in children. This method yielded excellent or good outcomes in 79% of cases, with no treatment-related complications.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Severely displaced supracondylar humerus fractures are common in children.
- Traditional treatments carry risks of neurovascular complications and joint stiffness.
Purpose of the Study:
- To evaluate the efficacy and safety of open reduction via a medial incision and transarticular pinning for pediatric supracondylar humerus fractures.
Main Methods:
- Retrospective review of 34 children treated with open reduction, medial incision, and transarticular pinning.
- Follow-up duration ranged from nine months to 20 years.
Main Results:
- Excellent or good results were achieved in 27 out of 34 elbows (79%).
- Neurovascular problems were satisfactorily resolved.
- No complications were attributed to the surgical treatment method.
Conclusions:
- Open reduction through a medial incision with transarticular pinning is a safe and effective treatment for severe pediatric supracondylar humerus fractures.
- This technique offers a high rate of satisfactory outcomes and minimal complications.
Abstract:
We have reviewed 34 children who had been treated by open reduction through a medial incision and transarticular pinning for a severely displaced supracondylar fracture of the humerus. Follow-up ranging from nine months to 20 years showed that 27 of 34 elbows (79%) had excellent or good results, with satisfactory resolution of neurovascular problems and no complications due to the method of treatment.