Outcomes of Open Reduction and Internal Fixation for Supracondylar Humeral Fractures in Children
Nguyen Ngoc Hung1*, Hoang Hai Duc2 and Nguyen Vu Hoang2
1 HongPhat General Hospital, 219 LeDuan Street, HaiBaTrung Distric, Hanoi city, Vietnam.
2 National Hospital for Pediatrics, Hanoi city, Vietnam.
*Corresponding Author: Nguyen Ngoc Hung, HongPhat General Hospital, 219 LeDuan Street, HaiBaTrung Distric, Hanoi city, Vietnam.
DOI: https://doi.org/10.58624/SVOAOR.2023.03.048
Received: July 15, 2023 Published: July 25, 2023
Abstract
Objectives: The aim of this study was to evaluate the results of open reduction and internal fixation of humeral supracondylar fractures in pediatric patients.
Patients and methods: A retrospective descriptive study conducted from 2006 to 2016, including 24 patients who underwent open reduction and internal fixation for the treatment of condylar fractures, adjusted by the closed method. The patients were clinically and radiographically evaluated according to the Gartland’s classification. Data collection also included postoperative radiological assessment, range of motion, presence of postoperative complications, and satisfaction questionnaire with treatment received.
Results: Patient’s age: Mean 9.46 ± 2.07; Males : 15 (62.5%), Females: 9 (37.5%); Injured elbow: Left 17 (70.8%), Right 07 (29,2%); Injury/Surgery Interval (days): 2.2 ± 0.78; Gartland’s classification: Type II: 6 (25%), Type III: 17 (70.8%), Type IV: 1 (4.2%); Follow-up Period (months): 44. 08 ± 5.78; Baumann angle: 16.12° ± 2.23°; Final loss of flexion: averaged 5.9°; loss of extension: 0.73°. The KW was removed was 4.2 months (range: 3 - months). Complications: KW Pierce through brachial artery (intra - Operatively) 1 (4.2%), Iatrogenic ulnar injury 1 (4.2%), Cubitus varus 1 (4.2%). Evaluation: Satisfactory 22 (91.7%), Unsatisfactory 02 (8.3%).
Conclusions: Conservative treatment is recommended for Gartland type I and nondisplaced type II fractures. Open reduction with two or three pins is the preferred treatment option for most supracondylar fractures. The use of appropriate criteria is wise in managing these cracks; Prognosis in the event of complications or possible complications should be explained.
Keywords: Supracondylar fracture, Open and internal fixation, Surgical methods, Preservation method of triceps, Kirschner wire.
Citation: Hung NN, Duc HH, Hoang NV. Outcomes of Open Reduction and Internal Fixation for Supracondylar Humeral Fractures in Children. SVOA Orthopaedics 2023, 3:4, 74-92.