Related Experiment Video
Updated: Jun 6, 2026
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Radiographic outcomes after treatment of pediatric supracondylar humerus fractures using a treatment-based
Bong-Jin Lee1, Sung-Rak Lee, Seong-Tae Kim
1Department of Orthopaedic Surgery, Cheju Halla General Hospital, Yeon-dong, Jeju, Republic of Korea.
Objectives:
To develop a radiographic method to categorize supracondylar fractures into four types that have logical treatment correlations. The new classification is described, illustrated, and then tested to see if it is reproducible, safe, and effective.
Design:
Clinical follow-up study.
Setting:
Level I trauma center.
Patients:
One hundred forty-one extension-type supracondylar fractures.
Intervention:
According to our system, a long arm cast without reduction was indicated for no or little displacement (Type I), closed reduction and long arm casting was indicated for minimal displacement (Type II), closed reduction and lateral pinning was indicated for moderate displacement (Type III), and closed or open reduction and medial-lateral crossed pinning was indicated for complete displacement (Type IV).
Main Outcome Measure:
Baumann's angle (anteroposterior) and the shaft-condylar angle (lateral).
Results:
: No significant differences were observed among the four types with respect to changes in Baumann's angle or the shaft-condylar angle. No patient experienced a major loss of reduction and no iatrogenic ulnar nerve injury was encountered.
Conclusions:
The described treatment-based classification of extension-type supracondylar humerus fractures demonstrates promising results.
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:18Classification of Bones
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The long...