Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches
2016
Аутори
Dučić, SinišaBumbaširević, Marko
Radlović, Vladimir
Nikić, Petar
Bukumirić, Zoran
Brdar, Radivoj
Radojičić, Zoran
Bukva, Bojan
Abramović, Dušan
Jaramaz-Ducić, Tatjana
Чланак у часопису (Објављена верзија)
Метаподаци
Приказ свих података о документуАпстракт
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 immobi...lisation. 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.
Кључне речи:
treatment complications / supracondylar humeral fractures / percutaneous pinning / open reduction / functional outcome / closed reductionИзвор:
Srpski arhiv za celokupno lekarstvo, 2016, 144, 1-2, 46-51Издавач:
- Srpsko lekarsko društvo, Beograd
Финансирање / пројекти:
- Процена инциденце морбидитета и морталитета повређених у саобраћајном трауматизму у односу на локацију, време и учеснике у саобраћајним незгодама на територији Београда (RS-MESTD-Basic Research (BR or ON)-175095)
DOI: 10.2298/SARH1602046D
ISSN: 0370-8179
PubMed: 27276857
WoS: 000373248800007
Scopus: 2-s2.0-84961927157
Институција/група
Fakultet organizacionih naukaTY - JOUR AU - Dučić, Siniša AU - Bumbaširević, Marko AU - Radlović, Vladimir AU - Nikić, Petar AU - Bukumirić, Zoran AU - Brdar, Radivoj AU - Radojičić, Zoran AU - Bukva, Bojan AU - Abramović, Dušan AU - Jaramaz-Ducić, Tatjana PY - 2016 UR - https://rfos.fon.bg.ac.rs/handle/123456789/1541 AB - 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. PB - Srpsko lekarsko društvo, Beograd T2 - Srpski arhiv za celokupno lekarstvo T1 - Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches EP - 51 IS - 1-2 SP - 46 VL - 144 DO - 10.2298/SARH1602046D UR - conv_1744 ER -
@article{ author = "Dučić, Siniša and Bumbaširević, Marko and Radlović, Vladimir and Nikić, Petar and Bukumirić, Zoran and Brdar, Radivoj and Radojičić, Zoran and Bukva, Bojan and Abramović, Dušan and Jaramaz-Ducić, Tatjana", year = "2016", abstract = "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.", publisher = "Srpsko lekarsko društvo, Beograd", journal = "Srpski arhiv za celokupno lekarstvo", title = "Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches", pages = "51-46", number = "1-2", volume = "144", doi = "10.2298/SARH1602046D", url = "conv_1744" }
Dučić, S., Bumbaširević, M., Radlović, V., Nikić, P., Bukumirić, Z., Brdar, R., Radojičić, Z., Bukva, B., Abramović, D.,& Jaramaz-Ducić, T.. (2016). Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches. in Srpski arhiv za celokupno lekarstvo Srpsko lekarsko društvo, Beograd., 144(1-2), 46-51. https://doi.org/10.2298/SARH1602046D conv_1744
Dučić S, Bumbaširević M, Radlović V, Nikić P, Bukumirić Z, Brdar R, Radojičić Z, Bukva B, Abramović D, Jaramaz-Ducić T. Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches. in Srpski arhiv za celokupno lekarstvo. 2016;144(1-2):46-51. doi:10.2298/SARH1602046D conv_1744 .
Dučić, Siniša, Bumbaširević, Marko, Radlović, Vladimir, Nikić, Petar, Bukumirić, Zoran, Brdar, Radivoj, Radojičić, Zoran, Bukva, Bojan, Abramović, Dušan, Jaramaz-Ducić, Tatjana, "Displaced supracondylar humeral fractures in children: Comparison of three treatment approaches" in Srpski arhiv za celokupno lekarstvo, 144, no. 1-2 (2016):46-51, https://doi.org/10.2298/SARH1602046D ., conv_1744 .