The Utility of the Early Postoperative Follow-Up and Radiographs After Operative Treatment of Supracondylar Humerus Fractures in Children

Journal of Pediatric Orthopedics
Anna M AcostaSuzanne E Steinman

Abstract

Supracondylar humerus (SCH) fractures are common elbow injuries in pediatric patients. The American Academy of Orthopedic Surgeons published guidelines for the standard of care in the treatment of displaced SCH fractures, however, no recommendations for follow-up care were made. With the recent push to eliminate unnecessary radiographs and decrease health care costs, many are questioning postoperative protocols. The purpose of our study was to evaluate the utility of the 1-week follow-up appointment after closed reduction and percutaneous pinning (CRPP) of displaced SCH fractures. A retrospective review performed at a single institution from 2014 to 2016 included patients under 14 years of age with a closed, displaced SCH fracture treated with CRPP. Exclusion criteria included patients without complete clinical or radiographic follow-up. Variables examined included time to initial follow-up, change in treatment plan after 1-week x-rays, complications, demographics, fracture type, pin number and configuration, reduction parameters, immobilization, time to pin removal, duration of casting, and clinical outcome. A total of 412 patients were divided into 2 groups based on time to initial follow-up. Overall, 368 had an initial follo...Continue Reading

References

Nov 1, 1992·Journal of Pediatric Orthopedics·D W Boyd, D D Aronson
Jan 1, 1992·Journal of Pediatric Orthopedics·P E KallioD C Paterson
Nov 1, 1986·The Journal of Bone and Joint Surgery. British Volume·P Worlock
Jan 1, 1997·The Journal of the American Academy of Orthopaedic Surgeons·N Y Otsuka, J R Kasser
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Wudbhav N SankarJohn M Flynn
Aug 25, 2007·Journal of Pediatric Orthopedics·Michalis ZeniosNicholas Smith
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Martin J HermanRoss S Chafetz
Feb 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Joshua M Abzug, Martin J Herman
Sep 8, 2012·Journal of Pediatric Orthopedics·Mara S KaramitopoulosRichard Kruse
Aug 1, 2015·Journal of Children's Orthopaedics·John A Schlechter, Michael Dempewolf
Sep 18, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Min Jung ParkA Noelle Larson
Apr 26, 2017·Journal of Pediatric Orthopedics·Vytas P KaraliusTodd A Milbrandt

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Citations

Dec 11, 2020·Journal of Pediatric Orthopedics·Allyson M Zakrzewski, Michael R Ferrick

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