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A NEW FLUOROSCOPY TECHNIQUE FOR SUPRACONDYLAR HUMERUS FRACTURES
Mirza Zafer Dagtas1, Omer Kays Unal1
1. Maltepe University, Orthopedics and Traumatology, Istanbul, Turkey.
Insights
A new fluoroscopy method (NFM) significantly reduces operative and fluoroscopy times for pediatric supracondylar humerus fractures (SHF) compared to the classical fluoroscopy method (CFM). Both techniques yield similar functional and radiological outcomes.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Medical Imaging
Background:
- Supracondylar humerus fractures (SHF) are common in pediatric patients.
- Intraoperative fluoroscopy is crucial for closed reduction and percutaneous pinning (CRPP).
- Optimizing fluoroscopy techniques can improve surgical efficiency and patient outcomes.
Purpose of the Study:
- To compare the efficacy of a new fluoroscopy method (NFM) versus the classical fluoroscopy method (CFM) for CRPP in pediatric SHF.
- To evaluate operative time, fluoroscopy time, functional outcomes, and radiological results.
Main Methods:
- A retrospective study included 36 pediatric patients with SHF.
- 21 patients underwent CRPP using CFM, and 15 patients used NFM.
- Functional outcomes were assessed using the Mayo Elbow Score, and radiological outcomes via Baumann's angle.
Main Results:
- NFM group had significantly shorter operative times (21.54±3.48 min) compared to CFM (38.14±5.92 min).
- NFM group also had significantly shorter fluoroscopy times (25.65±3.91 s) versus CFM (39.84±7.50 s).
- Both groups showed comparable functional (Mayo Elbow Score) and radiological (Baumann's angle) outcomes.
Conclusions:
- The NFM is a reliable and effective technique for pediatric SHF CRPP.
- NFM offers advantages of reduced operative and fluoroscopy times.
- NFM demonstrates comparable short-term functional and radiological results to CFM.
Introduction:
To compare two different intraoperative fluoroscopy techniques used for closed reduction and percutaneous pinning (CRPP) in pediatric patients with supracondylar humerus fractures (SHF).
Materials And Methods:
Thirty-six patients who underwent SHF surgery from May 2011 to June 2019 were included in the study. During surgery, the classical fluoroscopy method (CFM) was used in 21 patients and the new fluoroscopy method (NFM) was used in the remaining 15 patients.
Results:
The mean age was 5.14±1.13 years in the NFM group and 5.38±1.36 years in the CFM group. Mean operative time was 38.14±5.92 minutes in the CFM group and 21.54±3.48 minutes in the NFM group (p=0.001), while mean fluoroscopy times were 25.65±3.91 seconds and 39.84±7.50 seconds in the NFM and CFM groups, respectively (p=0.001). The NFM and CFM groups demonstrated similar functional capacity as measured by the Mayo Elbow Score (p=0.168). Direct radiographs obtained to measure Baumann's angle also showed that the two groups had similar results (p=0.848).
Conclusions:
The NFM is a reliable and successful technique as it leads to shorter operative and fluoroscopy times, as well as providing improvement in functional scores and radiological outcomes in short-term follow-up. Level of Evidence III, Therapeutic Studies-Investigating the Results Level of Treatment.
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