2020, Number 3
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Acta Ortop Mex 2020; 34 (3)
Surgical treatment of supracondylar fractures in pediatric patients using AO external lateral fixation technique
Segundo-Primero G, Casas-López M, Ruiz-Mejía O, Tapia-De la O V
Language: Spanish
References: 16
Page: 195-199
PDF size: 366.16 Kb.
ABSTRACT
Introduction: Fractures of the distal humerus represent 70% of fractures in children under 12 years. It is necessary to have knowledge about this type of injury, the therapeutic alternatives, and the possible complications.
Objective: To assess the functional results of the AO fixation technique in the management of humeral supracondylar fractures in pediatric patients.
Material and methods: Patients admitted to the pediatric orthopedics service were surgically treated by external fixation AO method, from July 1 to December 31, 2018. The data were obtained by monitoring from admission of patients until discharge from the outpatient clinic performing the functional clinical evaluation using the Mayo Elbow Performance Score to evaluate the function of the elbow.
Results: We included 5 patients with humeral supracondylar fracture treated by external fixation AO method, with an average age of 6 years. Of the 5 cases, 3 (60%) suffered the right upper limb injury and 2 (40%) the upper left limb, 1 patient (20%) had partial radial nerve injury. The score obtained on the Mayo Elbow Performance Score was 80 points on average.
Conclusions: The functional result of the treatment of humeral supracondylar fractures by means of AO external fixation technique, shows good results, positioning it as an alternative therapeutic treatment option.
REFERENCES
Scaglione M, Giovannelli D, Fabbri L, Dell’omo D, Goffi A, Guido G. Supracondylar humerus fractures in children treated with closed reduction and percutaneous pinning. Musculoskelet Surg. 2012; 96(2): 111-6.
Chaturvedi H, Khanna V, Bhargava R, Vaishya R. Functional outcomes in paediatric supracondylar fracture humerus treated with percutaneous pinning with cross K-wires. Apollo Medicine. 2017; 14: 34-41.
Meza SJF. Fractura supracondílea humeral en niños. Ortho-tips. 2009; 5(3): 218-25.
Palmer EE, Niemann KM, Vesely D, Armstrong JH. Supracondylar fracture of the humerus in children. JBJS. 1978; 60(5): 653-6.
Zorrilla S de Neira J, Prada-Cañizares A, Marti-Ciruelos R, Pretell-Mazzini J. Supracondylar humeral fractures in children: current concepts for management and prognosis. Int Orthop. 2015; 39(11): 2287-96.
Reisoglu A, Kazimoglu C, Hanay E, Agus H. Is pin configuration the only factor causing loss of reduction in the management of pediatric type III supracondylar fractures? Acta Orthop Traumatol Turc. 2017; 51(1): 34-8.
Gil Albarova J, Herrera A. Revisión y actualización del tratamiento de las fracturas supracondíleas de húmero en la infancia. Rev Esp Cir Osteoartic. 2013; 255(48): 110-22.
Millis MB, Singer IJ, Hall JE. Supracondylar fracture of the humerus in children. Further experience with a study in orthopaedic decision-making. Clin Orthop Relat Res. 1984; (188): 90-7.
Li J, Fu D, Yu C, Wang S, Ze R, Tang X. Surgical management of delayed irreducible Gartland III supracondylar fractures in children: open reduction and internal fixation versus external fixation. J Shoulder Elbow Surg. 2017; 26(2): 299-304.
Silva M, Kazantsev M, Aceves Martin B, Delfosse EM. Pediatric supracondylar humerus fractures: is surgeon experience a surrogate for the need of open reduction? J Pediatr Orthop B. 2018; 27(2): 103-7.
Pesenti S, Ecalle A, Gaubert L, Peltier E, Choufani E, Viehweger E, et al. Operative management of supracondylar humeral fractures in children: Comparison of five fixation methods. Orthop Traumatol Surg Res. 2017; 103(5): 771-5.
Slongo T. Radialer externer Fixateur zur geschlossenen Behandlung problematischer suprakondylärer Humerusfrakturen Typ III und IV bei Kindern und Jugendlichen. Eine neue chirurgische Technik. Oper Orthop Traumatol. 2014; 26(1): 75-96; quiz 97.
Bogdan A, Quintin J, Schuind F. Treatment of displaced supracondylar humeral fractures in children by humero-ulnar external fixation. Int Orthop. 2016; 40(11): 2409-15.
Turchin DC, Beaton DE, Richards RR. Validity of observer-based aggregate scoring systems as descriptors of elbow pain, function, and disability. J Bone Joint Surg Am. 1998; 80(2): 154-62.
Longo UG, Franceschi F, Loppini M, Maffulli N, Denaro V. Rating systems for evaluation of the elbow. Br Med Bull. 2008; 87: 131-61.
Min W, Ding BC, Tejwani NC. Comparative functional outcome of AO/OTA type C distal humerus fractures: open injuries do worse than closed fractures. J Trauma Acute Care Surg. 2012; 72(2): E27-32.