Delgado BH, Mendoza RR, Plata OG, Cristiani DG, Tinajero EC

Language: Spanish
References: 26
Page: 240-244
PDF size: 57.92 Kb.

ABSTRACT

Introduction. Humeral supracondylar fractures in children represents between three and 16% of all fractures; management of type III of Gartland is controversial including from manipulation and casting to open reduction and osteosyntesis with Kirschner wires. In this research we report our experience with percutaneous fixation and immobilization with a circular cast. In the literature we found reports about complications like the loosing of the reduction and the trauma to the ulnar nerve. We do not report complications in this research. Material and methods. We performed this research from January of 1988 to December of 2002. We included 36 patients with edges between one to 14 years with supracondylar fractures. We check the vascular and neurological function pre and postoperatory. We performed the surgery under general anesthesia, and we practiced a close reduction and fixation with two Kirschner wires using fluoroscopic vision, finally we applied a circular cast. Four to six weeks later, we retired the K wires and start the rehabilitation. We performed the statistic analysis. Results. We obtaining consolidation in all of our patients six weeks after we retired the pins and the cast, with mobility recuperation except in two girls, who recover their physiological function at eight weeks. We didn’t have vascular nor neurological complications.

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