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[Complications of supracondylar humeral fractures in children]
O A Canales-Zamora1, F G Mora-Ríos2, L C Mejía-Rohenes3
1Facultad Mexicana de Medicina, Universidad La Salle. Hospital Regional «General Ignacio Zaragoza», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Ciudad de México. México.
Insights
Supracondylar humerus fractures are common in young children. The most frequent complications observed were cubitus varus and pre-treatment neurological issues.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Radiology
Background:
- Supracondylar fractures are the most common pediatric elbow injury (64%) in children under eight.
- Potential complications include pre-treatment neurological/vascular issues and post-treatment loss of reduction, infection, or deformity.
- These fractures require careful management to minimize adverse outcomes.
Purpose of the Study:
- To determine the frequency of complications in pediatric supracondylar humerus fractures.
- To analyze the incidence of various pre- and post-treatment complications in children under eight years old.
Main Methods:
- A retrospective, observational cohort study design was employed.
- Data was collected from patients under eight years of age between March 2014 and February 2018.
- 277 patients with supracondylar humerus fractures were included in the analysis.
Main Results:
- Cubitus varus occurred in 3.97% of cases.
- Pre-treatment neurological lesions were observed in 1.44% of patients.
- Early neurological complications and Kirschner needle infections each occurred in 1.44% and 0.72% of cases, respectively.
Conclusions:
- Cubitus varus was the most common complication identified in this study.
- Neurological complications occurring prior to treatment were also a significant finding.
- Understanding complication frequencies aids in managing pediatric elbow fractures.
Introduction:
Supracondylar fractures represent the most frequent cause of pediatric elbow injuries, at 64%, in children under eight years old. These fractures can present complications such as: A) Complications prior to treatment: 1) neurological, 2) vascular and 3) compartment syndrome. B) Complications after treatment: 1) early, in the first days after treatment: loss of reduction, neurological, vascular, compartment syndrome, infection of Kirschner wires. 2) Late complications in treatment: Angular deformity, loss of mobility, ossifying myositis, avascular necrosis of the trochlea, others.
Objective:
To determine the frequency of complications in humeral supracondylar fractures in less than eight years.
Material And Methods:
A retrospective, observational cohort study was conducted in patients under 8 years of age during the period of March 2014 to February 2018.
Results:
277 patients were obtained with the following percentages: cubitus varus 3.97%, neurological lesions prior to surgical treatment 1.44%, early neurological complications to treatment 1.44%, infections of Kirschner needles 0.72%, cubitus valgus 0.72%, loss of mobility 0.36%.
Conclusions:
The most common complication of humerus supracondylar fractures in this study was cubitus varus and neurological complications prior to treatment.
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