scholarly journals Assessment of elbow functional outcome after closed reduction and percutaneous pinning of displaced supracondylar humerus fractures in children

2019 ◽  
Vol 18 (4) ◽  
Author(s):  
A Rutarama ◽  
GB Firth
Keyword(s):  
Functional Outcome ◽  
Closed Reduction ◽  
Percutaneous Pinning ◽  
Fractures In Children ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

scholarly journals Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches

2016 ◽  
Vol 144 (1-2) ◽  
pp. 46-51 ◽  
Author(s):  
Sinisa Ducic ◽  
Marko Bumbasirevic ◽  
Vladimir Radlovic ◽  
Petar Nikic ◽  
Zoran Bukumiric ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Type Ii ◽  
Percutaneous Pinning ◽  
Cast Immobilisation ◽  
Fractures In Children ◽  
Supracondylar Humerus Fractures ◽  
Wire Fixation ◽  
Supracondylar Humeral Fractures ◽  
Humerus Fractures

Introduction. Closed reduction and percutaneous pinning are the most widely used treatment options for displaced supracondylar humerus fractures in children, but there is still no consensus concerning the most preferred technique in injuries of the extension type. Objective. The aim of this study was to compare three common orthopaedic procedures in the treatment of displaced extension type supracondylar humerus fractures in children. Methods. Total of 93 consecutive patients (66 boys and 27 girls) referred to our hospital with Gartland type II or III extension supracondylar humeral fractures were prospectively included in the study over a six-year period. At initial presentation 48 patients were classified as Gartland type II and 45 as Gartland type III fractures. The patients were subdivided into three groups based on the following treatment modality: closed reduction with percutaneous pinning, open reduction with Kirschner wires (K-wires) fixation, and closed reduction with cast immobilisation. The treatment outcome and clinical characteristics were compared among groups, as well as evaluated using Flynn?s criteria. Results. Excellent clinical outcome was reported in 70.3% of patients treated with closed reduction with percutaneous pinning and in 64.7% of patients treated with open reduction with K-wire fixation. The outcome was significantly worse in children treated with closed reduction and cast immobilisation alone, as excellent outcome is achieved in just 36.4% of cases (p=0.011). Conclusion. Closed reduction with percutaneous pinning is the method of choice in the treatment of displaced pediatric supracondylar humeral fracture, while open reduction with K-wire fixation is as a good alternative in cases with clear indications.

Supracondylar humerus fractures in children treated with closed reduction and percutaneous pinning

2012 ◽  
Vol 96 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Michelangelo Scaglione ◽  
Daniele Giovannelli ◽  
Luca Fabbri ◽  
Dario Dell’Omo ◽  
Andrea Goffi ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Percutaneous Pinning ◽  
Fractures In Children ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

scholarly journals Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Achraf H. Jardaly ◽  
Ketrick LaCoste ◽  
Shawn R. Gilbert ◽  
Michael J. Conklin
Keyword(s):  
Closed Reduction ◽  
Late Complications ◽  
Percutaneous Pinning ◽  
Institutional Review ◽  
Fractures In Children ◽  
Irrigation And Debridement ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures ◽  
One Year

Objectives. Complications following treatment of supracondylar humerus fractures are typically seen shortly postoperatively. Late complications occurring years after percutaneous pinning are rare but can be indolent and have permanent sequelae. We present cases of children presenting with late deep infections to discuss their diagnosis and treatment. Methods. After institutional review board approval, we retrospectively reviewed records of three children who developed deep infections at least one year after percutaneous pinning of their supracondylar humerus fracture. Patient details and outcomes were analyzed. Radiographs and magnetic resonance imaging were reviewed along with each patient’s clinical course and treatment. Results. We report 3 cases of osteomyelitis and/or septic arthritis presenting at least one year after supracondylar humerus fractures treated with closed reduction and percutaneous pinning. The patients required several irrigation and debridement procedures with placement of antibiotic beads in addition to a prolonged course of antibiotics. Conclusion. Delayed deep infections can occur after closed reduction and percutaneous pinning of supracondylar humerus fractures in children. Vigilance is required to diagnose and treat such occurrences, and prolonged follow-up is needed to monitor for recurrent or intractable infections.

scholarly journals Functional Outcome of Proximal Humerus Fractures Treated with Closed Reduction and Percutaneous Pinning

2020 ◽  
Vol 7 (1) ◽  
pp. 86-89
Author(s):  
Suyog Baliram Chavhan ◽  
Bharat Kelkar ◽  
Brijbhushan Mahajan ◽  
◽  
◽  
...  
Keyword(s):  
Functional Outcome ◽  
Closed Reduction ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Percutaneous Pinning ◽  
Humerus Fractures
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