PMID: 18716428Aug 22, 2008Paper

Treatment of pediatric displaced supracondylar humerus fractures by fixation with two cross K-wires following reduction achieved after cutting the triceps muscle in a reverse V-shape

Acta orthopaedica et traumatologica turcica
Volkan GürkanSefa Ozel

Abstract

We evaluated the results of surgical treatment for pediatric displaced supracondylar humerus fractures. The study included 98 pediatric patients (72 boys, 26 girls; mean age 7 years; range 3 months to 14 years). According to the Gartland classification, all the displaced supracondylar humerus fractures were type III, being of flexion type in 10 patients (10.2%), and extension type in 88 patients (89.8%). Five were Gustilo-Anderson type 1 open fractures. All fractures were approached posteriorly. Reduction was achieved by cutting the triceps muscle in a reverse V-shape, followed by fixation using two cross K-wires from the epicondyles. The results were assessed according to the criteria of Flynn et al. At final follow-ups, elbow range of motion, the strength of the triceps muscle and, on radiographs, the carrying angle of the elbow, Baumann angle, and lateral humerocapitellar angle were measured. The mean follow-up was 42.6 months (range 7 to 80 months). According to the criteria of Flynn et al., 95 patients (96.9%) had perfect or good cosmetic results, 84 patients (85.7%) had perfect or good functional results. Elbow angles, elbow range of motion, and the strength of the triceps muscle were similar to those measured on the norm...Continue Reading

Citations

Mar 23, 2017·Journal of Pediatric Orthopedics. Part B·Gökçer UzerVolkan Gürkan
Aug 4, 2009·Journal of Children's Orthopaedics·Ahmet Ozgur YildirimAhmet Ucaner

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