Remodeling of Sagittal Plane Malunion after Pediatric Supracondylar Humerus Fractures. Outcome after pin fixation of supracondylar humerus fractures in children: postoperative radiographic examinations are unnecessary. Tuomilehto N, Kivisaari R, Sommarhem A, Nietosvaara AY.
Alteration of Baumann’s angle by humeral position: implications for treatment of supracondylar humerus fractures. Camp J, Ishizue K, Gomez M, Gelberman R, Akeson W. Keywords: supracondylar fractures, child elbow pathology, cross-fixation, lateral fixation, healing and recovery after 30-45 days.ġ. Recovery may begin the day after surgery. “Double X” fixation gives the best stabilization and postoperatively there is no need for immobilization in a plaster cast. All SHFs operated by CRPP and ORIF by “double X” were cured and satisfactory and good results were obtained in the neglected types operated between 14 and 60 days and good and excellent results were obtained in the rare forms.Ĭonclusions. In 2001, I introduced "double X" fixation to better stabilize anatomical reductions that showed signs of instability during intraoperative verification.Īll indications given in the study protocol have been made in accordance with the regulations mentioned in the experimental program. Internal fixation was done by the techniques of Judet, San Antonio, San Diego, Dorgan, in “X” and “double X”. During 1982-2020 we consulted, treated and evaluated patients with SHF to whom all known treatment methods were applied: orthopedic reduction and immobilization in plaster cast, CRPP, ORIF, minimal-open reduction and internal fixation (mORIF) by mMA and external fixator. The minimal medial-approach (mMA) highlights the epitrochlea and the fracture of the medial pylon it has the role of anatomically reducing the medial pylon, thinner and very unstable in rare and particular forms. The epitrochlear approach (EA) was performed in cases where stability by CRPP could not be ensured or when there were clear signs of ulnar nerve damage. Fixation in "double X" was used either by CRPP and ORIF. All patients with rare and particular forms presented in this article, were operated during 2001-2020 in state and private hospitals. Comments and opinions on "double X" method and other cross or side configurations are presented. The aim of this paper is to present the results obtained by using double cross-fixation, "in double X", by closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF) in treating rare and particular forms. The presence of special, rare and various forms which we can encounter when treating supracondylar humeral fractures (SHF) in children, call into question what therapeutic methods can be used to increase the effectiveness of the treatment applied. Satisfactory outcomes measured by Flynn’s criteria were achieved in 87.74% in CRPP and 86.73% in ORIF patient group, indicating significant difference (Heterogeneity, I2 = 23% WMD, 1.26 0.58 to 2.73 P =0.56).Ĭonclusion: Current systematic review and meta-analysis suggest that for displaced supracondylar humerus fractures, ORIF offers a comparable functional and cosmetic outcome compared to CRPP.Background Context. Result: Total of 252 patients aged 0-15 years old were included. In each study, mean difference (MD) with 95% confidence interval (CI) was calculated for dichotomous outcomes using Review Manager. For meta-analysis, 6 studies were included and fixed effect model used to pool the result. Studies of one surgical technique, Gartland type I, case reports were excluded. Inclusion criteria were age <18 years old, comparing CRPP and ORIF for Supracondylar Humerus Fractures Gartland Type II, II. Method: Systematic review was conducted based on PRISMA guideline. Study aims to compare CRPP and ORIF for pediatric supracondylar humerus fracture. Utilization of Closed Reduction and Percutaneus Pinning (CRPP) increased for this pathology, some authors believe ORIF results better anatomical reduction and lower rate of loss of reduction. Introduction: Displaced supracondylar fracture in children is a challenging injury that may result in impaired functional and cosmetic outcome if not well-treated.
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