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Radiological and Clinical Outcomes of Pediatric Patients With a Supracondylar Humerus Fracture Surgically Treated
Oğuzhan Muslu1, Tolgahan Cengiz2, Şafak Aydın Şimşek3
1Orthopaedics and Traumatology, Hatay Training and Research Hospital, Hatay, TUR.
Insights
Closed reduction and percutaneous pinning effectively treat pediatric supracondylar humerus fractures, yielding excellent functional and cosmetic outcomes in most young patients. This minimally invasive technique is a reliable option for these common childhood injuries.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Pediatric supracondylar humerus fractures are common injuries.
- These fractures can lead to significant complications if not treated properly.
- Effective treatment is crucial for optimal long-term function and appearance.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of pediatric supracondylar humerus fractures treated with closed reduction and percutaneous pinning.
- To assess the effectiveness and safety of this surgical technique in a pediatric population.
Main Methods:
- A retrospective review of 100 pediatric patients with supracondylar humerus fractures treated between January 2015 and February 2022.
- Surgical treatment involved closed reduction and percutaneous pinning.
- Clinical results were assessed using Flynn's cosmetic and functional scoring system.
Main Results:
- The study included 59% male and 41% female patients with an average age of 6.21 years.
- Gartland classification revealed a high prevalence of Type III (51%) and Type IV (16%) fractures.
- Excellent functional (92%) and cosmetic (91%) results were reported, with minimal residual sagittal plane deformity.
Conclusions:
- Closed reduction and percutaneous pinning are effective treatment methods for displaced pediatric supracondylar humerus fractures.
- This technique demonstrates a high success rate in achieving favorable clinical and radiological outcomes.
- It is a reliable surgical option for managing these common pediatric fractures.
Objectives:
It was aimed to evaluate the clinical and radiological results of patients operated on with closed reduction and pinning due to pediatric supracondylar humerus fractures.
Materials And Methods:
The radiological and clinical results of 100 patients operated on with closed reduction and percutaneous pinning for pediatric supracondylar humerus fractures in the Department of Orthopedics and Traumatology were examined between January 2015 and February 2022. Clinical results were evaluated by performing cosmetic and functional scores defined by Flynn. Closed reduction and percutaneous pinning techniques were used in surgical treatment.
Results:
In our study, 59 patients were male (59%), and 41 were female (41%). The average age of all patients is 6.21 ± 2.85 years. According to the Gartland classification, 21 patients' fractures were type IIA (21%), 12 patients' fractures were type IIB (12%), 51 patients' fractures were type III (51%), and 16 patients' fractures were type IV (16%). The average number of pins used in the treatment is 2.55 ± 0.50. The elbow bearing angle of the operated side of the patients was an average of 6.53 ± 3.29 degrees, the humerocapitellar angle was an average of 41.97 ± 3.08 degrees, and the lateral humerocapitellar angle was an average of 50.17 ± 3.58 degrees. Fifty-one patients had stage 0 (51%), 23 patients had stage 1 (23%), 23 patients had stage 2 (23%), and three patients had stage 3 (3%) residual sagittal plane deformity. According to the Flynn criteria, 92 patients had excellent functional results (92%), seven patients had good results (7%), and one patient had fair results (1%). Regarding cosmetic results, 91 patients had excellent results (91%), six patients had good results (6%), and three patients had fair results (3%).
Conclusion:
Supracondylar humerus fractures are common in children and can cause serious complications. Closed reduction and percutaneous pinning techniques are effective treatment methods in the treatment of displaced supracondylar humerus fractures.
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