PMID: 9165439Apr 1, 1997Paper

Supracondylar fractures: what's new?

Journal of Pediatric Orthopedics. Part B
K E Wilkins

Abstract

In the past 5 to 7 years many advances have been made in the treatment of type III supracondylar fractures of the humerus. Gartland's three-type classification has continued to be used as a valuable tool to determine the aggressiveness of treatment. Use of cast immobilization for type III injuries has been shown to produce inferior results. Percutaneous pin fixation for reduced fractures has been established as the ideal treatment for most type III displaced fractures. Mediolateral or three lateral pin constructs provide the most rigid fixation. It is now apparent that the anterior interosseous nerve is probably the most commonly injured nerve. Recent technology in evaluating the vascular system has shown that the incidence of injuries to the brachial artery is probably higher than originally suspected. However, the management of these arterial injuries in patients who appear to have adequate profusion of the forearm musculature for normal function is still controversial, with recommendations varying from simple observation to aggressive primary arterial repair. Cubitus varus has been found to be due primarily to angulation in the coronal plane. Fortunately the incidence of complications after corrective osteotomies with this d...Continue Reading

Citations

Dec 2, 2006·Skeletal Radiology·Eric R HendersonDavid S Feldman
Feb 14, 2013·International Orthopaedics·Perajit Eamsobhana, Kamolporn Kaewpornsawan
Feb 3, 2007·Journal of Pediatric Orthopedics. Part B·Shai LuriaShlomo Porat
Nov 19, 2005·Journal of Pediatric Orthopedics·Edward AbrahamOmar Abdul-Hadi
Feb 22, 2002·Journal of Pediatric Orthopedics·Arabella I LeetEdward Ebramzadeh
Aug 25, 2007·Journal of Pediatric Orthopedics·Michalis ZeniosNicholas Smith
Jan 28, 2010·Journal of Pediatric Orthopedics·Ravi K BashyalJ Eric Gordon
Mar 5, 2014·Journal of Pediatric Orthopedics·Andrew T PennockPeter O Newton
Jun 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·James R LewisJames B Hunter
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Apr 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Chang-Wug OhJoo-Chul Ihn
Apr 2, 2016·Journal of Pediatric Orthopedics. Part B·Eduardo N NovaisNancy H Miller
Mar 30, 2000·Journal of Pediatric Orthopedics·J J Gugenheim
Jul 4, 2001·Journal of Pediatric Orthopedics·H De Boeck
Aug 31, 2016·Journal of Orthopaedic Surgery·O GulerM Mahirogullari
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Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·David L SkaggsRobert M Kay
Feb 12, 2021·Indian Journal of Orthopaedics·Samir SabharwalSanjeev Sabharwal

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