Surgical treatment of supracondylar humerus fractures in children

K Reising, H Schmal, M Kohr, K Kuminack, N P Südkamp, P C Strohm

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

PURPOSE OF THE STUDY: 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.

PATIENTS AND METHODS: 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.

RESULTS: 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.

CONCLUSION: 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.

OriginalsprogEngelsk
TidsskriftActa Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Vol/bind78
Udgave nummer6
Sider (fra-til)519-23
Antal sider5
ISSN0001-5415
StatusUdgivet - 2011

Fingeraftryk

Radial Neuropathy
Immobilization
Length of Stay
Pediatrics

Citer dette

Reising, K., Schmal, H., Kohr, M., Kuminack, K., Südkamp, N. P., & Strohm, P. C. (2011). Surgical treatment of supracondylar humerus fractures in children. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 78(6), 519-23.
Reising, K ; Schmal, H ; Kohr, M ; Kuminack, K ; Südkamp, N P ; Strohm, P C. / Surgical treatment of supracondylar humerus fractures in children. I: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca. 2011 ; Bind 78, Nr. 6. s. 519-23.
@article{15ff81e4f66e4e1286d2ab285fc8be46,
title = "Surgical treatment of supracondylar humerus fractures in children",
abstract = "PURPOSE OF THE STUDY: 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.PATIENTS AND METHODS: 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.RESULTS: 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.CONCLUSION: 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.",
keywords = "Bone Wires, Child, Child, Preschool, Female, Fracture Fixation, Internal, Humans, Humeral Fractures, Infant, Male, Journal Article",
author = "K Reising and H Schmal and M Kohr and K Kuminack and S{\"u}dkamp, {N P} and Strohm, {P C}",
year = "2011",
language = "English",
volume = "78",
pages = "519--23",
journal = "Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca",
issn = "0001-5415",
publisher = "Galen, spol. s r.o.",
number = "6",

}

Reising, K, Schmal, H, Kohr, M, Kuminack, K, Südkamp, NP & Strohm, PC 2011, 'Surgical treatment of supracondylar humerus fractures in children', Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, bind 78, nr. 6, s. 519-23.

Surgical treatment of supracondylar humerus fractures in children. / Reising, K; Schmal, H; Kohr, M; Kuminack, K; Südkamp, N P; Strohm, P C.

I: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, Bind 78, Nr. 6, 2011, s. 519-23.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Surgical treatment of supracondylar humerus fractures in children

AU - Reising, K

AU - Schmal, H

AU - Kohr, M

AU - Kuminack, K

AU - Südkamp, N P

AU - Strohm, P C

PY - 2011

Y1 - 2011

N2 - PURPOSE OF THE STUDY: 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.PATIENTS AND METHODS: 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.RESULTS: 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.CONCLUSION: 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.

AB - PURPOSE OF THE STUDY: 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.PATIENTS AND METHODS: 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.RESULTS: 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.CONCLUSION: 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.

KW - Bone Wires

KW - Child

KW - Child, Preschool

KW - Female

KW - Fracture Fixation, Internal

KW - Humans

KW - Humeral Fractures

KW - Infant

KW - Male

KW - Journal Article

M3 - Journal article

C2 - 22217404

VL - 78

SP - 519

EP - 523

JO - Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca

JF - Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca

SN - 0001-5415

IS - 6

ER -