Surgical treatment of supracondylar humerus fractures in children
Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature. In the period from 2000-2006 a tota...
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| Veröffentlicht in: | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca 2011, Vol.78 (6), p.519-523 |
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| container_title | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca |
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| creator | Reising, K Schmal, H Kohr, M Kuminack, K Südkamp, N P Strohm, P C |
| description | Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature.
In the period from 2000-2006 a total of 86 children aged 1.7 to 12.7 years were treated by means of crossed K-wire osteosynthesis. Follow up was conducted at an average of 32 months. Outcomes were evaluated based on von Laer's criteria.
Reported complications were migration of the K-wires in 7% of cases and secondary dislocation and re-operation in 4% of cases. Lesion of the radial nerve was diagnosed postoperatively in two cases. Hospital stay was 1.5 days on average. Postoperative immobilization in an upper arm splint and implant removal after 6 weeks on average. 57% of the children received physiotherapy during the course of treatment. Slight varization was found in 11% of children and an unsatisfactory range of motion in 13%. Satisfactory outcomes were recorded for 83% of patients.
K-wire osteosynthesis is associated with a low complication rate and continues to be a safe standard procedure for the stabilization of supracondylar humerus fractures. Key words: supracondylar humerus fracture, Kirschner wires, paediatric fractures. |
| doi_str_mv | 10.55095/achot2011/082 |
| format | Article |
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In the period from 2000-2006 a total of 86 children aged 1.7 to 12.7 years were treated by means of crossed K-wire osteosynthesis. Follow up was conducted at an average of 32 months. Outcomes were evaluated based on von Laer's criteria.
Reported complications were migration of the K-wires in 7% of cases and secondary dislocation and re-operation in 4% of cases. Lesion of the radial nerve was diagnosed postoperatively in two cases. Hospital stay was 1.5 days on average. Postoperative immobilization in an upper arm splint and implant removal after 6 weeks on average. 57% of the children received physiotherapy during the course of treatment. Slight varization was found in 11% of children and an unsatisfactory range of motion in 13%. Satisfactory outcomes were recorded for 83% of patients.
K-wire osteosynthesis is associated with a low complication rate and continues to be a safe standard procedure for the stabilization of supracondylar humerus fractures. Key words: supracondylar humerus fracture, Kirschner wires, paediatric fractures.</description><identifier>ISSN: 0001-5415</identifier><identifier>EISSN: 2570-981X</identifier><identifier>DOI: 10.55095/achot2011/082</identifier><identifier>PMID: 22217404</identifier><language>eng</language><publisher>Czech Republic</publisher><subject>Bone Wires - adverse effects ; Child ; Child, Preschool ; Female ; Fracture Fixation, Internal - adverse effects ; Humans ; Humeral Fractures - surgery ; Infant ; Male</subject><ispartof>Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca, 2011, Vol.78 (6), p.519-523</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-8e505b5748cfd9787e31918b428049c546b23604b29cd5c732462702628ad9193</citedby><cites>FETCH-LOGICAL-c334t-8e505b5748cfd9787e31918b428049c546b23604b29cd5c732462702628ad9193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22217404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reising, K</creatorcontrib><creatorcontrib>Schmal, H</creatorcontrib><creatorcontrib>Kohr, M</creatorcontrib><creatorcontrib>Kuminack, K</creatorcontrib><creatorcontrib>Südkamp, N P</creatorcontrib><creatorcontrib>Strohm, P C</creatorcontrib><title>Surgical treatment of supracondylar humerus fractures in children</title><title>Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca</title><addtitle>Acta Chir Orthop Traumatol Cech</addtitle><description>Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature.
In the period from 2000-2006 a total of 86 children aged 1.7 to 12.7 years were treated by means of crossed K-wire osteosynthesis. Follow up was conducted at an average of 32 months. Outcomes were evaluated based on von Laer's criteria.
Reported complications were migration of the K-wires in 7% of cases and secondary dislocation and re-operation in 4% of cases. Lesion of the radial nerve was diagnosed postoperatively in two cases. Hospital stay was 1.5 days on average. Postoperative immobilization in an upper arm splint and implant removal after 6 weeks on average. 57% of the children received physiotherapy during the course of treatment. Slight varization was found in 11% of children and an unsatisfactory range of motion in 13%. Satisfactory outcomes were recorded for 83% of patients.
K-wire osteosynthesis is associated with a low complication rate and continues to be a safe standard procedure for the stabilization of supracondylar humerus fractures. Key words: supracondylar humerus fracture, Kirschner wires, paediatric fractures.</description><subject>Bone Wires - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Humans</subject><subject>Humeral Fractures - surgery</subject><subject>Infant</subject><subject>Male</subject><issn>0001-5415</issn><issn>2570-981X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kD1rwzAQhkVpaUyatWPx1snJ6SRZ0hhCvyDQoS10M7IsNy7-SCVryL-vadJMxx3P-8I9hNxSWAoBWqyM3Q0jAqUrUHhBEhQSMq3o5yVJAIBmglMxI4sQvqcVBCol6DWZISKVHHhC1m_RfzXWtOnonRk714_pUKch7r2xQ18dWuPTXeycjyGtp9sYvQtp06d217SVd_0NuapNG9ziNOfk4_HhffOcbV-fXjbrbWYZ42OmnABRCsmVrSstlXSMaqpKjgq4toLnJbIceInaVsJKhjxHCZijMpWmms3J_bF374ef6MJYdE2wrm1N74YYCo0gp-84m8jlkbR-CMG7utj7pjP-UFAo_sQVZ3HFJG4K3J2qY9m56oz_a2K_aX1oWw</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Reising, K</creator><creator>Schmal, H</creator><creator>Kohr, M</creator><creator>Kuminack, K</creator><creator>Südkamp, N P</creator><creator>Strohm, P C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Surgical treatment of supracondylar humerus fractures in children</title><author>Reising, K ; Schmal, H ; Kohr, M ; Kuminack, K ; Südkamp, N P ; Strohm, P C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-8e505b5748cfd9787e31918b428049c546b23604b29cd5c732462702628ad9193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Bone Wires - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Humans</topic><topic>Humeral Fractures - surgery</topic><topic>Infant</topic><topic>Male</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reising, K</creatorcontrib><creatorcontrib>Schmal, H</creatorcontrib><creatorcontrib>Kohr, M</creatorcontrib><creatorcontrib>Kuminack, K</creatorcontrib><creatorcontrib>Südkamp, N P</creatorcontrib><creatorcontrib>Strohm, P C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reising, K</au><au>Schmal, H</au><au>Kohr, M</au><au>Kuminack, K</au><au>Südkamp, N P</au><au>Strohm, P C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of supracondylar humerus fractures in children</atitle><jtitle>Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca</jtitle><addtitle>Acta Chir Orthop Traumatol Cech</addtitle><date>2011</date><risdate>2011</risdate><volume>78</volume><issue>6</issue><spage>519</spage><epage>523</epage><pages>519-523</pages><issn>0001-5415</issn><eissn>2570-981X</eissn><abstract>Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature.
In the period from 2000-2006 a total of 86 children aged 1.7 to 12.7 years were treated by means of crossed K-wire osteosynthesis. Follow up was conducted at an average of 32 months. Outcomes were evaluated based on von Laer's criteria.
Reported complications were migration of the K-wires in 7% of cases and secondary dislocation and re-operation in 4% of cases. Lesion of the radial nerve was diagnosed postoperatively in two cases. Hospital stay was 1.5 days on average. Postoperative immobilization in an upper arm splint and implant removal after 6 weeks on average. 57% of the children received physiotherapy during the course of treatment. Slight varization was found in 11% of children and an unsatisfactory range of motion in 13%. Satisfactory outcomes were recorded for 83% of patients.
K-wire osteosynthesis is associated with a low complication rate and continues to be a safe standard procedure for the stabilization of supracondylar humerus fractures. Key words: supracondylar humerus fracture, Kirschner wires, paediatric fractures.</abstract><cop>Czech Republic</cop><pmid>22217404</pmid><doi>10.55095/achot2011/082</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca, 2011, Vol.78 (6), p.519-523 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Bone Wires - adverse effects Child Child, Preschool Female Fracture Fixation, Internal - adverse effects Humans Humeral Fractures - surgery Infant Male |
| title | Surgical treatment of supracondylar humerus fractures in children |
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