Closed Reduction and Percutaneous Pinning of Supracondylar Humerus Fracture

2013 ◽  
pp. 51-52
Author(s):  
Said Saghieh
Keyword(s):  
Closed Reduction ◽  
Humerus Fracture ◽  
Percutaneous Pinning ◽  
Supracondylar Humerus Fracture

scholarly journals Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children

2019 ◽  
Vol 7 (24) ◽  
pp. 4194-4198
Author(s):  
Dung Tran Trung ◽  
Nam Le Van ◽  
Vien Nguyen Huu ◽  
Chinh Dao Nguyen ◽  
Ha Nguyen Ngoc ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Closed Reduction ◽  
Image Intensifier ◽  
Humerus Fracture ◽  
Treatment Result ◽  
Percutaneous Pinning ◽  
Supracondylar Humerus Fracture ◽  
Medial Condyle ◽  
Female Ratio ◽  
Male Predominance

BACKGROUND: Pediatric supracondylar humerus fracture (SHF) is a complicated injury which can result in severe sequela. Nowadays, closed reduction and percutaneous pinning (CRPP) is the most popular treatment. AIM: This study had two aims (1) checking the result of treating pediatric SHF patients without neurovascular injury by CRPP under image intensifier, and (2) analysing neurovascular complications of CRPP in treating these patients. METHODS: We conducted a research on 42 patients from February 2018 to March 2019. The age of patients ranged from 3 to 11 years old, with a mean of 5. There was a male predominance with a male / female ratio of 3/1. The average duration of the procedure was 46 minutes, and there was no failed case. RESULTS: Result evaluation based on Flynn criteria (1974): 85.74 % excellent, 9.5% good, 2.38% fair, and 2.38% poor. There was 1 patient how got ulnar nerve injury complication after medial-lateral crossed pinning, making up 2.38% of all cases. This case was a late admission – 3 days after being injured – and the elbow was badly swollen, so locating the medial condyle for pin placement was very problematic, this the ulnar nerve could be damaged during K-wire pinning. The K-wires are removed after 4 weeks. CONCLUSION: CRPP under image intensifier in treating pediatric supracondylar humerus fracture is an effective treatment and with good treatment result.

scholarly journals Pseudomonas aeruginosaSeptic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Adam M. Wegner ◽  
John C. Wuellner ◽  
Brian M. Haus
Keyword(s):  
Closed Reduction ◽  
Infectious Complications ◽  
Humerus Fracture ◽  
Percutaneous Pinning ◽  
Review Of The Literature ◽  
Supracondylar Humerus Fracture ◽  
Subperiosteal Abscess ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures ◽  
Rotary Instability

Infectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperativePseudomonasinfection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring. We present the devastating complication of a pediatric patient who developedPseudomonas aeruginosasubperiosteal abscess, osteomyelitis, and elbow septic arthritis after presenting to the clinic multiple times with a wet cast after closed reduction and percutaneous pinning of a supracondylar humerus fracture. We describe the treatment course for this patient, followed by the sequelae of posterolateral rotary instability. This case not only confirms that patients can getPseudomonasinfections if they get their cast wet but also stresses the importance of patient communication and compliance in preventing unfortunate complications.

scholarly journals Ipsilateral Pediatric Supracondyar Humerus Fracture and Radial Head Dislocation

2018 ◽  
Vol 1 (1-3) ◽  
pp. 62-66
Author(s):  
Daniel C. Kim ◽  
Adam J. Handwerger ◽  
John T. Riehl
Keyword(s):  
Radial Head ◽  
Closed Reduction ◽  
Pediatric Patients ◽  
Humerus Fracture ◽  
Radial Head Dislocation ◽  
Supracondylar Humerus Fracture ◽  
Left Elbow ◽  
One Year

Case: A 5-year-old boy presented with left elbow pain after a fall. Radiographs revealed a radial head dislocation without ulnar involvement which was treated with closed reduction in the emergency department. Two-week follow-up radiographs revealed a periosteal reaction along the medial epicondyle at the supracondylar region, consistent with a type 1 supracondylar humerus fracture. The elbow was treated with closed reduction and casting for 2 weeks. One year after injury, the patient had full painless range of motion. Conclusion: This case report highlights an injury pattern not previously described in the literature, and no previous recommendations exist regarding treatment. Although rare, radial head dislocation with simultaneous supracondylar humerus fracture can occur in pediatric patients. Our patient obtained a good result without surgical treatment.

scholarly journals Outcome of Open Reduction and Internal Fixation through Anterior Approach in Failed Closed Reduction of Supracondylar Humerus Fracture in Children

2020 ◽  
Vol 05 (02) ◽  
pp. 21-24
Author(s):  
Indrajit Munda ◽  
Pradip Kumar Ghosh ◽  
Soudip Sinha ◽  
Asish Kumar ◽  
Debdutta Chatterjee ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Anterior Approach ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture

scholarly journals A Study of Management of Supracondylar Fracture of Humerus in Paediatric Age Group by Open and Closed Reduction with Internal Fixation

2020 ◽  
Vol 7 (51) ◽  
pp. 3080-3084
Author(s):  
Chandra Sekhar Rao K ◽  
Shivram Naik V ◽  
Rajesh P
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Case Series ◽  
Supracondylar Fracture ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture ◽  
Type Iii ◽  
Kirschner Wire Fixation ◽  
Supracondylar Humerus Fractures

BACKGROUND Supracondylar humerus fracture is the most serious paediatric skeletal injury of elbow in children. Supracondylar fracture of humerus leads to many complications due to the intrinsic fracture instability, close proximity of the brachial artery, three main upper extremity nerves, poor radiographs, contradictory perception of reduction and reduction management modalities and, lastly, patient compliance with care. The aim of this research is to determine the short-term outcomes of closed and open reduction and Kirschner wire fixation in childhood Gartland type III supracondylar humerus fracture. METHODS It is a comparative case series of 2 years duration conducted among 30 patients with supracondylar humerus fracture who were admitted and treated at the Department of Orthopaedics. Closed reduction was handled in 15 out of 30 patients, with the remaining 15 patients being treated by open reduction. The outcomes are calculated on the basis of the Flynn scale, which is based on change in the carrying angle and loss of motion after treatment. RESULTS Males (56.66 %) were more affected than females; left side (66.67 %) was more affected than the right side; fractures of type III were more common. 26 patients stayed in a sufficient range of motion, 4 patients had insufficient motion with a loss of more than 100, of which 3 were treated with a closed reduction and 1 with an open reduction. Twenty-six (86.66 %) of the 30 patients showed good to excellent results and four (13.33 %) showed mediocre to poor results. Of the four cases, one was handled with a closed reduction and three were handled with an open reduction. CONCLUSIONS We conclude that open reduction and K-wire fastening without triceps is a treatment option for displaced supracondylar humerus fractures. KEYWORDS Supracondylar Fracture, Humerus Fracture

scholarly journals Treatment of pediatric supracondylar humerus fractures accompanied with pink pulseless hands

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Li-wei Xie ◽  
Juan Wang ◽  
Zhi-qiang Deng
Keyword(s):  
Brachial Artery ◽  
Closed Reduction ◽  
Duplex Ultrasound ◽  
Humeral Fractures ◽  
Percutaneous Pinning ◽  
Radial Pulse ◽  
Color Flow ◽  
Surgical Exploration ◽  
Close Observation ◽  
Supracondylar Humeral Fractures

Abstract Background The optimal treatment for pediatric supracondylar humeral fractures accompanied with a pink pulseless hand is controversial. Some clinicians recommend close observation after closed reduction and percutaneous pinning of the fractures, while some recommend surgical exploration if the radial pulse is unpalpable. The present study aimed to analyze the benefits and outcomes of close observation for treating pediatric supracondylar humeral fractures with a pink pulseless hand. Methods Thirteen consecutive children presenting with a pink pulseless hand following supracondylar humeral fracture were enrolled in this study. Preoperative and postoperative color-flow Duplex ultrasound detection was used to assess brachial artery compromise in most cases. Urgent closed reduction and percutaneous pinning of the fractures were attempted first. Close observation was carried out when the hand was pink and pulseless with an absent radial pulse. Results Preoperative color-flow Duplex ultrasound showed no disruption of the brachial artery in cases detected. Compression of the artery by the proximal fragment was observed in most cases, with one case of entrapment of the artery between fragments, and thrombus considered in two cases. All cases underwent urgent surgery, after which nine experienced immediate return of the radial pulse. The remaining four without a palpable pulse were managed with close observation and no deterioration of the vascular status was observed; therefore, no surgical exploration was performed. Postoperative color-flow Duplex ultrasound revealed continuity of the artery and rich collateral circulation. Patients completed an average of 4.5 years of follow-up, during which no major complications occurred. All patients achieved excellent limb function. Conclusions Our study demonstrates that close observation after urgent closed reduction and percutaneous pinning is a sufficient approach for the treatment of pediatric supracondylar humeral fractures accompanied with a pink pulseless hand. Surgical exploration is not necessary as long as the hand is warm and well perfused. Color-flow Duplex ultrasound is beneficial for assessing vascular compromise and determining treatment strategies.

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