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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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...
3.2K

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Related Experiment Video

Updated: Jun 21, 2025

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

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Serial Post-Operative Radiographs in Surgically Managed Pediatric Supracondylar Humeral Fractures: Are They Always

Ammar K Alomran1, Dalal A Bubshait1, Ibrahim A Albrahim1

  • 1Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Journal of Multidisciplinary Healthcare
|July 8, 2024
PubMed
Summary

Routine postoperative radiographs are not necessary for pediatric supracondylar humeral fractures after surgical fixation. However, Gartland type 3 fractures may benefit from earlier imaging to guide revision surgery decisions.

Keywords:
closed reductionfixationpediatric humeruspost-operative x-raysupracondylar

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Radiology

Background:

  • Supracondylar humeral fractures are common in children and often require surgery when displaced.
  • Postoperative radiographic monitoring is standard but its optimal frequency is debated.

Purpose of the Study:

  • To evaluate the utility of early postoperative radiographs in managing pediatric supracondylar humeral fractures.
  • To determine the ideal frequency of radiographic imaging after surgical intervention.

Main Methods:

  • Retrospective review of 122 pediatric patients with supracondylar humeral fractures treated surgically over 15 years.
  • Data collected included patient demographics, fracture type (Gartland classification), operative details, healing time, and number of postoperative X-rays before K-wire removal.

Main Results:

  • Most fractures were Gartland Type III (74.6%). Healing occurred at 3-4 weeks post-surgery for most patients.
  • 94.3% of patients had four X-rays before K-wire removal; 4.9% required revision surgery.
  • All revisions were Gartland Type 3, with decisions made within three weeks.

Conclusions:

  • Routine postoperative radiography is not essential for surgically treated supracondylar humeral fractures prior to bone healing.
  • Gartland Type 3 fractures may warrant earlier radiographic assessment for timely intervention.