Surgical Treatment of Pediatric Supracondylar Humerus Fractures

Aim: The purpose of this study was to explore the frequency of pediatric supracondylar humerus fractures, and to determine the effects of age of on the number of pins used for osteosynthesis and the surgery techniques for reduction. Methods: 149 patients with Gartland type II and type III supracond...

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Main Authors: Erhan Bayram, İbrahim Kaya, İbrahim Sungur, Murat Yılmaz, Samed Ordu, Akın Uğraş, Mahmut Ercan Çetinus
Format: Article
Language:English
Published: Galenos Yayinevi 2014-03-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access:http://www.hasekidergisi.com/article_4729/Surgical-Treatment-Of-Pediatric-Supracondylar-Humerus-Fractures
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author Erhan Bayram
İbrahim Kaya
İbrahim Sungur
Murat Yılmaz
Samed Ordu
Akın Uğraş
Mahmut Ercan Çetinus
author_facet Erhan Bayram
İbrahim Kaya
İbrahim Sungur
Murat Yılmaz
Samed Ordu
Akın Uğraş
Mahmut Ercan Çetinus
author_sort Erhan Bayram
collection DOAJ
description Aim: The purpose of this study was to explore the frequency of pediatric supracondylar humerus fractures, and to determine the effects of age of on the number of pins used for osteosynthesis and the surgery techniques for reduction. Methods: 149 patients with Gartland type II and type III supracondylar humerus fractures, who were surgically treated in our clinic, were included in this study. The subjects were divided into two groups according to the type of treatment (open versus closed reduction), and any correlation between the type of reduction and patients’ age was investigated. Results: There was positive correlation between age and the total number of pins used (p=0.000). Open reduction frequency was higher in older children (p=0.005). Conclusion: Closed reduction and fixation with 2 K wires (either cross fixation or divergent configuration) is an effective treatment, but for the older children, it is difficult to obtain anatomic fixation with closed reduction, therefore, we need three or more K wires to provide stable fixation. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 43-6)
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spelling doaj.art-b89a13b7656945be9082530c842f029b2023-02-15T16:10:00ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882014-03-01521434610.4274/Haseki.1238Surgical Treatment of Pediatric Supracondylar Humerus FracturesErhan Bayram0İbrahim Kaya1İbrahim Sungur2Murat Yılmaz3Samed Ordu4Akın Uğraş5Mahmut Ercan Çetinus6Haseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeMedipol Üniversite Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, TürkiyeHaseki Eğitim Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeAim: The purpose of this study was to explore the frequency of pediatric supracondylar humerus fractures, and to determine the effects of age of on the number of pins used for osteosynthesis and the surgery techniques for reduction. Methods: 149 patients with Gartland type II and type III supracondylar humerus fractures, who were surgically treated in our clinic, were included in this study. The subjects were divided into two groups according to the type of treatment (open versus closed reduction), and any correlation between the type of reduction and patients’ age was investigated. Results: There was positive correlation between age and the total number of pins used (p=0.000). Open reduction frequency was higher in older children (p=0.005). Conclusion: Closed reduction and fixation with 2 K wires (either cross fixation or divergent configuration) is an effective treatment, but for the older children, it is difficult to obtain anatomic fixation with closed reduction, therefore, we need three or more K wires to provide stable fixation. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 43-6)http://www.hasekidergisi.com/article_4729/Surgical-Treatment-Of-Pediatric-Supracondylar-Humerus-FracturesPediatric supracondylarhumerus fracturefixation techniques
spellingShingle Erhan Bayram
İbrahim Kaya
İbrahim Sungur
Murat Yılmaz
Samed Ordu
Akın Uğraş
Mahmut Ercan Çetinus
Surgical Treatment of Pediatric Supracondylar Humerus Fractures
Haseki Tıp Bülteni
Pediatric supracondylar
humerus fracture
fixation techniques
title Surgical Treatment of Pediatric Supracondylar Humerus Fractures
title_full Surgical Treatment of Pediatric Supracondylar Humerus Fractures
title_fullStr Surgical Treatment of Pediatric Supracondylar Humerus Fractures
title_full_unstemmed Surgical Treatment of Pediatric Supracondylar Humerus Fractures
title_short Surgical Treatment of Pediatric Supracondylar Humerus Fractures
title_sort surgical treatment of pediatric supracondylar humerus fractures
topic Pediatric supracondylar
humerus fracture
fixation techniques
url http://www.hasekidergisi.com/article_4729/Surgical-Treatment-Of-Pediatric-Supracondylar-Humerus-Fractures
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AT muratyılmaz surgicaltreatmentofpediatricsupracondylarhumerusfractures
AT samedordu surgicaltreatmentofpediatricsupracondylarhumerusfractures
AT akınugras surgicaltreatmentofpediatricsupracondylarhumerusfractures
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