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 Close Reduction and Percutaneous K-wire Fixation without Image Intensifier in Supracondylar Fracture of Humerus in Children

2013 ◽  
Vol 3 (1) ◽  
pp. 19-22
Author(s):  
Ruhullah Mohammad ◽  
Sanjay Kumar Ranjan Shah ◽  
HR Singh ◽  
KD Sinha ◽  
Dipan Barua ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Case Series ◽  
Image Intensifier ◽  
Cost Effective ◽  
Percutaneous Pinning ◽  
Supracondylar Fractures ◽  
Gold Standard Method ◽  
Remote Hospital ◽  
Wire Fixation ◽  
One Year

Introduction: Extension Type III supracondyla fractures of the humerus is most common fractures around the elbow in children. Closed reduction and percutaneous pinning under image intensifier guide has been the gold standard method of treatment. However, image intensifier is not readily available in most part of our country. Closed reduction and percutaneous pinning is possible even without image intensifier. we report our case series of 51 cases who underwent closed reduction and percutaneous pinning without image intensifier. Methods: Between November 2009 and April 2011 a total of 51 children with a displaced supracondylar fractures of the humerus were managed by close reduction and percuteneus k-wire fixation without using image intensifier. They were followed for a period of minimum 6 months up to one and a half years (average one year) and the final outcome was assessed using functional and cosmetic criteria used by Flynn and associates. Results: Of these 51 patients, 46 (90%) patients showed an excellent results. Satisfactory results were achieved in 4 (8%) patients, poor in 1(2%) patients. Conclusion: Close reduction and percutaneous K-wire fixation without using image intensifier is radiation free, cost effective and relatively safe method of management of displaced supracondylar fractures of humerus in children. It can be used in a remote hospital where the facilities of image intensifier or portable x-ray are not available. DOI: http://dx.doi.org/10.3126/noaj.v3i1.9321 Nepal Orthopedic Association Journal 2013 Vol.3(1): 19-22

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