Pediatric Fractures, Supracondylar Humerus Fracture
Conditions
Keywords
pediatric, supracondylar humeral fracture, k wires, closed reduction, pin configuration
Brief summary
The purpose of this study was to compare pin configuration effects on early secondary displacement in the surgical treatment of pediatric supracondylar humeral fractures (SCHF).
Detailed description
The study consisted of 100 (68M, 32F) children who underwent surgery between 2010 and 2013 for Gartland Type 3 (SCHF). The patients divided into five groups according to the top in configurations (crossed 1 lateral 1 medial, crossed 2 lateral 1 medial, crossed 1 lateral 2 medial, 2 lateral divergent, and 3 lateral divergent). The average age at the time of injury was 7.34 (between 2 and 14 years). Bauman angle (BA), Humerocapital angle (HCA), Anterior humeral line (AHL), flexion range, extension range, and Carrying angle (CA) were compared at preoperative, postoperative 1st-day, postoperative last control, and non-operated side. The mean follow-up time 24,96±11,06 with a range of 12-54 months.
Interventions
PROCEDUREPediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires
The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.
Sponsors
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
No minimum to 16 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric Gartland Type 3 supracondylar humeral fracture * Patients operated between 2010-2013 * Patients under 16 years old
Exclusion criteria
* Pathological fractures * Conservative treated supracondylar fractures * Less than the 1-year follow-up * Patients with incomplete postoperative follow-up * Patients older than 16 years * Pediatric Gartland Type 1 and 2 supracondylar humeral fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Baumann Angle | postoperative 1. day, 1. month and 12. month | This angle is formed by the humeral axis and a straight line through the epiphyseal plate of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. |
| Anterior Humeral Line | postoperative 1. day, 1. month and 12. month | A line drawn down the anterior surface of the humerus should intersect the middle third of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. |
| Humero-Capital Angle | postoperative 1. day, 1. month and 12. month | On lateral X-ray angle between capitellum and humeral shaft. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. |
Outcome results
None listed