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 Paratricepital approach for open reduction and internal fixation of delayed presentation of pediatric supracondylar humerus fracture

2019 ◽  
Vol 6 (1) ◽  
pp. 107
Author(s):  
Ramachandra Subbasetty ◽  
Dayanand Manjunath ◽  
Deepak Shivanna ◽  
Narasimha Murthy
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Perioperative Complications ◽  
Humerus Fracture ◽  
Delayed Presentation ◽  
Supracondylar Humerus Fracture ◽  
Fractures In Children ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Delayed presentation of pediatric displaced supracondylar humerus fracture is relatively common. Management of such cases have higher incidence of perioperative complications and usually require open reduction and pinning. Open reduction can be done by various approaches, each having its own advantage and disadvantages.</p><p class="abstract"><strong>Methods:</strong> A prospective study was done comprising 20 children with displaced Supracondylar fracture presented 2-14 days of injury, Mean patient age was 6 years. 15 were boys and 5 were girls. Children in whom closed reduction and percutaneous pinning was achieved, vascular injury and more than 2 weeks old fracture cases were excluded. Paratricepital approach was used for Open reduction and pinning for all the cases. The functional outcome was assessed using Flynn criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> In all cases the fracture had united at complete follow-up and the mean follow-up period was 16 months. The outcome was excellent in 15 (75%), good in 3 (15%), fair in 1 (5%), and poor in 1 (5%) patients. The mean Baumann angle was 76º in the affected elbow and 73º in the normal elbow. Average time for complete union in the current study was 7 weeks. Pin tract infection was seen in 2, stiffness in 2 patients, cubitus varus in 1 patient. No case of compartment syndrome or iatrogenic nerve injury was seen was recorded.</p><p class="abstract"><strong>Conclusions:</strong> Finally, we concluded that triceps sparing paratricepital approach is an easy, simple and safe approach for exposure and internal fixation of supracondylar humeral fractures in children with excellent functional outcome.</p>

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

Complications of the Transmasseteric Anteroparotid Approach for Subcondylar Fractures: A Retrospective Study

2021 ◽  
pp. 194338752110169
Author(s):  
Jared Gilliland ◽  
Fabio Ritto ◽  
Paul Tiwana
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Mouth Opening ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
University Of Oklahoma ◽  
The University

Study Design: A retrospective analysis of patients with subcondylar fractures treated via a transmasseteric anteroparotid approach by the Oral and Maxillofacial Department at the University of Oklahoma. Objective: The goal of this study was to evaluate complications, morbidity, and safety with the transmasseteric anteroparotid approach for treatment of subcondylar fractures, and compare it to other findings previously reported in the literature. Methods: A retrospective study was conducted that consisted of 23 surgically treated patients in the past 2 years for subcondylar fractures. Only patients with pre-operative malocclusion and who underwent open reduction with internal fixation with the transmasseteric anteroparotid (TMAP) approach were included. Exclusion criteria included 1) patients treated with closed reduction 2) patients who failed the minimum of 1, 3, and 6-week post-operative visits. The examined parameters were the degree of mouth opening, occlusal relationship, facial nerve function, incidence of salivary fistula and results of imaging studies. Results: 20 of the surgically treated patients met the inclusion criteria. Two patients were excluded due to poor post-operative follow up and 1 was a revision of an attempted closed reduction by an outside surgeon that presented with pre-existing complications. There were no cases of temporary or permanent facial nerve paralysis reported. There were 3 salivary fistulas and 2 sialoceles, which were managed conservatively and resolved within 2 weeks, and 2 cases of inadequate post-surgical maximal incisal opening (<40 mm) were observed. Conclusion: The transmasseteric anteroparotid approach is a safe approach for open reduction and internal fixation of low condylar neck and subcondylar fractures, and it has minimal complications.

scholarly journals A Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring of Neer’s 2-Part and 3-Part Proximal Humerus Fractures

2020 ◽  
Vol 7 (40) ◽  
pp. 2247-2250
Author(s):  
Mahesh Gangaiah ◽  
Monesh Kanakappa Basavaraj ◽  
Balaraj Gowda Hanumantappa ◽  
Girish Halasinanagenahalli Rudrappa ◽  
Balakrishnan Honnapura Doppapettigama ◽  
...  
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Plate Versus ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures

scholarly journals Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Sung Hoon Choi ◽  
Jeong Min Hur ◽  
Kyu-Tae Hwang
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Proximal Fragment ◽  
Rare Injury ◽  
Soft Tissue Swelling ◽  
Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

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