PMID: 591029Aug 1, 1977

The operative management of the difficult supracondylar fracture of the humerus in the child

Injury
G M HartG P Arden

Abstract

A series of supracondylar fractures of the humerus in children is presented. The majority was reduced by closed manipulation. The difficult fractures were defined as those in which adequate reduction either could not be achieved by manipulation or was not maintained, or those in which neurological or vascular complications occurred. Such cases were treated by open reduction and internal fixation. The results were assessed with regard to loss of elbow movement, deformity and symptoms. The results of the operative series were comparable with those achieved by closed manipulation in the easier cases. No secondary corrective procedures were necessary. It is concluded that closed manipulation should be used routinely as the method of treatment for supracondylar fractures of the humerus in children, except in the difficult case, for which operative treatment should be undertaken. Stiffness or deformity does not follow open reduction and internal fixation.

References

Dec 1, 1972·Journal of Pediatric Surgery·M CarcassonneH Hornung
Jan 1, 1971·Archiv für klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde·G A Sharrard

Citations

Mar 1, 1996·Journal of Pediatric Orthopedics·M A Gruber, W A Healy
Sep 25, 2008·Journal of Pediatric Orthopedics·Tamir BloomPeter Newton
Apr 2, 2010·Journal of Pediatric Orthopedics·Jessica C BabalGuy Klein
Apr 23, 2008·Strategies in Trauma and Limb Reconstruction·Wael A El-AdlAl-Sayed M Ali
Feb 15, 2008·Clinical Orthopaedics and Related Research·Hyun Sik GongGoo Hyun Baek
May 4, 1999·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·M VignoliG Sarli
Mar 29, 2006·The Journal of Bone and Joint Surgery. British Volume·P J WalmsleyD E Porter
Mar 27, 2001·The Journal of Bone and Joint Surgery. American Volume·C T MehlmanA H Crawford
Oct 1, 1979·Archives of Orthopaedic and Trauma Surgery·L von Laer
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·J MangwaniJ M H Paterson

Related Concepts

Teens
Fracture Fixation, Internal
Humeral Fractures
Manipulation, Orthopedic
Study, Methodological
Postoperative Complications

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