Supracondylar humerus fractures in children: a comparison of experiences

J Pediatr Orthop B. 2012 Nov;21(6):505-13. doi: 10.1097/BPB.0b013e32834f805b.

Abstract

The most common elbow lesions found in pediatric practice are supracondylar fractures. We compared two groups of 34 patients each with a supracondylar humerus fracture grade III (Gartland classification). The first group was treated with percutaneous pinning with Kirschner wires, with patients in a supine position, sometimes preceded by transkeletal traction. The second group was treated with percutaneous pinning with Kirschner wires, with patients in a prone position, within 6 h of the trauma. No statistically significant differences with regard to clinical outcomes and neurovascular complications were revealed in the comparison. Therefore, we can state that both treatment techniques used are valid.

Publication types

  • Comparative Study

MeSH terms

  • Bone Wires
  • Child
  • Child, Preschool
  • Elbow Injuries*
  • Female
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fracture Healing
  • Humans
  • Humeral Fractures / surgery*
  • Length of Stay
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Prone Position
  • Retrospective Studies
  • Traction
  • Treatment Outcome