scholarly journals Efficacy of ultra-early rehabilitation on elbow function after Slongo’s external fixation for supracondylar humeral fractures in older children and adolescents

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Man He ◽  
Qian Wang ◽  
Jingxin Zhao ◽  
Yu Wang
Keyword(s):  
Children And Adolescents ◽  
External Fixation ◽  
Early Rehabilitation ◽  
Humeral Fractures ◽  
Control Group ◽  
Older Children ◽  
Postoperative Rehabilitation ◽  
Supracondylar Humeral Fractures ◽  
Elbow Function ◽  
Better Than

Abstract Objective To evaluate the efficacy of ultra-early rehabilitation on elbow function after Slongo’s external fixation for supracondylar humeral fractures in older children and adolescents. Methods We retrospectively analyzed clinical data from 49 older children (> 8 years) and adolescents with supracondylar humerus fracture who were treated with Slongo’s external fixation in our hospital from January 2016 to August 2020. Twenty-three patients received ultra-early postoperative rehabilitation (rehabilitation group) and 26 patients were not subjected to postoperative rehabilitation (control group). Time to ROM required for functional activity of daily living(ROM-ADL) in both groups was recorded postoperatively. Patients were followed up at 3 and 6 months after surgery to compare the elbow range of motion (ROM) and carrying angle (CA). Postoperative complications were assessed in both groups. Flynn scores and modified Mayo Elbow Performance Scores were also performed. Results The elbow function at 6 months after surgery was significantly better than that at 3 months in the control group (P = 0.32). Time to ROM-ADL in the rehabilitation group was significantly shorter than that of the control group (P = 0.028). The elbow function, Flynn scores, and modified Mayo scores in the rehabilitation group at 3 and 6 months after surgery were significantly better than that of the control group (P(ROM, 3 months and 6 months) = 0.012 vs 0.039; P(Flynn scores, ROM, 3 months and 6 months) = 0.028 vs 0.005; P(Flynn scores, CA, 3 months and 6 months) = 0.032 vs 0.026; P(Modified Mayo scores, 3 months and 6 months) = 0.039 vs 0.024; respectively). There were no iatrogenic injuries, secondary fracture displacements, myositis ossificans, elbow deformities, or other complications in either group. One case of nail tract infection occurred in the rehabilitation group and was cured. Conclusion Slongo’s external fixation is a safe and effective surgical treatment for supracondylar humeral fractures in children over 8 years old and adolescents. Ultra-early rehabilitation treatment for postoperative children can significantly speed up the recovery after surgery.

scholarly journals Lateral entry pins and Slongo’s external fixation: which method is more ideal for older children with supracondylar humeral fractures?

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Man He ◽  
Qian Wang ◽  
Jingxin Zhao ◽  
Yu Jin ◽  
Yu Wang
Keyword(s):  
Fracture Healing ◽  
External Fixation ◽  
External Fixator ◽  
Elbow Joint ◽  
Kirschner Wire ◽  
Healing Time ◽  
Humeral Fractures ◽  
Older Children ◽  
Fractures In Children ◽  
Supracondylar Humeral Fractures

Abstract Objective The standard surgical treatment for supracondylar humeral fractures in children is closed reduction and percutaneous pinning. Given the need for greater fixation strength and higher risk of joint stiffness for children older than 8 years, external fixation is often performed for treating supracondylar humeral fractures in older children. The aim of this study was to compare the efficacy of lateral entry pins and Slongo’s external fixation for treating supracondylar humeral fractures in older children. Methods Children older than 8 years who underwent surgery for supracondylar humeral fractures at our hospital for surgery from January 2016 to December 2020 are to be retrospectively assessed. One group (n = 36) underwent internal fixation and percutaneous pinning with three lateral Kirschner wires, and the other group (n = 32) underwent Slongo’s external fixator surgery. The demographic data, operation duration, number of fluoroscopies, and fracture healing time were compared between both groups. The elbow joint function was evaluated 6 months after the surgery on the basis of fracture healing time, lifting angle, elbow joint range of motion (ROM), and Flynn score. The incidence of postoperative complications was also recorded. Results There was no significant difference between the two patient groups in terms of the demographic parameters. Compared to external fixation surgery, Kirschner wire surgery required shorter duration and fewer fluoroscopies (P < 0.05). Nevertheless, the fracture healing time was significantly less (P < 0.05), and the elbow ROM and Flynn scores were higher in the external fixator group compared to the Kirschner wire fixation group (P < 0.05). There was one case of secondary fracture displacement in the Kirschner wire group and one of pin tract infection in the external fixator group. No other iatrogenic injuries or complications were observed. Conclusion Maybe Slongo’s external fixator is a suitable alternative treatment option for supracondylar humeral fractures in children older than 8 years since it can achieve better fixation strength and early restoration of elbow joint movement with a lower risk of joint stiffness.

Audiological Profile in Older Children and Adolescents with Unrepaired Cleft Palate

2005 ◽  
Vol 42 (5) ◽  
pp. 570-573 ◽  
Author(s):  
Yamani Venkata Ramana ◽  
Vipul Nanda ◽  
Gautam Biswas ◽  
Ravi Chittoria ◽  
Shakuntala Ghosh ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Children And Adolescents ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Common Finding ◽  
Control Group ◽  
Older Children ◽  
Patients Âgés

Objective To study the audiological profile in the cleft population comprising older children and adolescents with unrepaired cleft palate and to arrive at a consensus regarding management of otitis media with effusion in this unique group. Setting Tertiary care institute in Chandigarh, Punjab, India. Design Prospective study based on all patients older than 7 years with unrepaired cleft palate, attending the plastic surgery outpatient department, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab, India, from January 2001 to December 2002. Patients with submucous cleft were excluded from the study. General characteristics, otoscopic findings, pure tone audiometry, and impedence audiometry of all patients were recorded. Results Patients’ ages ranged from 8 to 18 years, with a mean of 10.5 years. Regarding otological complaints, 86.7% were asymptomatic. Otoscopic findings revealed mild retraction as the most common finding in 50% of the ears. Type B curve was the most common tympanometric finding. The highest and lowest hearing thresholds recorded were 45 db and 15 db, respectively, with a mean of 27.11 db. Conclusion The audiological profile of this unique group, which neither had undergone palatoplasty nor had received treatment for the ear condition, demonstrates a mild to moderate hearing impairment. This definitely requires treatment, but owing to the lack of a prospective control group, it is difficult to conclude whether these patients are benefited by conservative treatment alone or by an early aggressive surgical treatment for otitis media with effusion (OME).

Treatment of Supracondylar Humeral Fractures in Children Using External Fixation

Orthopedics ◽  
2004 ◽  
Vol 27 (11) ◽  
pp. 1146-1150 ◽  
Author(s):  
Mireille Gris ◽  
Olivier Van Nieuwenhove ◽  
Cyrille Gehanne ◽  
Jean Quintin ◽  
Franz Burny
Keyword(s):  
External Fixation ◽  
Humeral Fractures ◽  
Fractures In Children ◽  
Supracondylar Humeral Fractures

scholarly journals Intra-Articular Bupivacaine Injection is An Ideal Method for Postoperative Pain Control in Children with Supracondylar Humeral Fracture

2021 ◽  
Author(s):  
Qian Wang ◽  
Jingxin Zhao ◽  
Yu Wang ◽  
Man He
Keyword(s):  
Treatment Group ◽  
Postoperative Pain ◽  
Pain Control ◽  
Humeral Fracture ◽  
Humeral Fractures ◽  
Control Group ◽  
Postoperative Pain Control ◽  
Supracondylar Humeral Fracture ◽  
Fractures In Children ◽  
Supracondylar Humeral Fractures

Abstract Objective: Supracondylar humeral fracture is the most common fracture in children. Currently there are a large number of studies on supracondylar humeral fractures addressing the epidemiology of supracondylar fractures, injury mechanisms, treatments and complications, however there are few studies on how to control the pain in children after fractures and operation. Therefore, we retrospectively analyzed the effectiveness of an intra-articular injection of 0.25% bupivacaine on pain control after CRPP of supracondylar humeral fractures in children. To our knowledge, this is the largest study on the use of an intra-articular injection for pain control after surgery for supracondylar humeral fractures.Methods: This clinical trial was designed to evaluate the efficacy of intra-articular injection of 0.25% bupivacaine as a postoperative pain control in children with supracondylar humeral fractures who underwent closed reduction and percutaneous pinning (CRPP).Subjects (n = 120) were randomized to treatment with 0.25% bupivacaine (treatment group) (n = 60) or no injection (control group) (n =71). After surgery, all patients were prescribed Ibuprofen for analgesia. The Ibuprofen doses and the times of administration were recorded. The Faces Pain Scale-Revised (FPS-R) scores were blindly recorded during postoperative day 1.Results: The results suggested that the use of intra-articular injection of 0.25% bupivacaine improved pain control and decreased the need for Ibuprofen on postoperative day 1. FPS-R scores were also significantly lower in the treatment group as compared with those of the control group. No intra-articular injection-associated complications were reported. Conclusion: Therefore, the intra-articular injection of bupivacaine significantly improves postoperative pain control following CRPP of supracondylar humeral fractures in children.

scholarly journals Pitfalls of lateral external fixation for supracondylar humeral fractures in children

2010 ◽  
Vol 37 (4) ◽  
pp. 405-410 ◽  
Author(s):  
M. Horst ◽  
S. Altermatt ◽  
D. M. Weber ◽  
R. Weil ◽  
L. E. Ramseier
Keyword(s):  
External Fixation ◽  
Humeral Fractures ◽  
Fractures In Children ◽  
Supracondylar Humeral Fractures

scholarly journals Early Rehabilitation Nursing for Stroke Patients with Hemiplegia in Neurology Department

2021 ◽  
Vol 5 (6) ◽  
pp. 79-83
Author(s):  
Guixia Jiang
Keyword(s):  
Neurological Function ◽  
Early Rehabilitation ◽  
Psychological State ◽  
Anxiety And Depression ◽  
Control Group ◽  
Stroke Patients ◽  
Clinical Nursing ◽  
Random Number Table ◽  
Experimental Group ◽  
Better Than

Objective: To study the clinical nursing effect of early rehabilitation nursing on stroke patients with hemiplegia in neurology department. Methods: Stroke patients with hemiplegia treated in our hospital from March 2018 to March 2020 were selected for the present study. Twenty patients in each group were divided into two groups by random number table method, either in experimental group or control group. Routine nursing was used in the control group, while early rehabilitation nursing was carried out in the experimental group. The clinical nursing effect of the two groups of patients was compared. Results: After nursing, the neurological function of the patients was significantly improved (P < 0.05), the improvement of the experimental group was better than that of the control group (P < 0.01), the daily activities of the patients in the experimental group were significantly improved, and the score of the experimental group was higher than that of the control group (P < 0.05). After nursing, anxiety and depression scores in the experimental group were significantly lower than those in the control group (P < 0.05), and the recovery of limb function in the experimental group was better than that in the control group (P < 0.05). Conclusion: The implementation of early rehabilitation nursing measures plays an important role in the recovery of stroke patients with hemiplegia by promoting the recovery of neurological function, improving the psychological state of patients, and promoting the recovery of limbs.

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