34-200
Tratamiento de las fracturas supracondíleas de humero con desplazamiento en niños
Treatment of displaced supracondylar fractures of the humerus in children
A. CASO GARCÍA, P. LOPEZ FERNÁNDEZ, M. P CIMADEVILLA GONZALEZ, D. NUÑEZ BATALLA, J. PAZ JIMENEZ. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL CENTRAL DE ASTURIAS
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
A retrospective study of 188 children complaining of
displaced supracondylar fractures of the humerus was performed.
The period of the study was 1986 to 1997 and all the fractures
were treated by closed reduction and percutaneous pinning
with two kirschner wires. Gartland classification was used to
assess the fracture's displacement .The results were studied clinically
and radiologically following Flynn criteria. In the long term
follow up 154 cases (82%) were considered satisfactory. A lack
of radial pulse was reported in 22 cases (12%) and in all of them
a total recovery was achieved after the reduction and stabilization
of the fracture. We also record 28 cases (15 %) of neural injuries
with full recovery between two and six months time.The
most frequent permanent damage was cubitus varus in 23 cases
(12%) but with little functional impairment.
displaced supracondylar fractures of the humerus was performed.
The period of the study was 1986 to 1997 and all the fractures
were treated by closed reduction and percutaneous pinning
with two kirschner wires. Gartland classification was used to
assess the fracture's displacement .The results were studied clinically
and radiologically following Flynn criteria. In the long term
follow up 154 cases (82%) were considered satisfactory. A lack
of radial pulse was reported in 22 cases (12%) and in all of them
a total recovery was achieved after the reduction and stabilization
of the fracture. We also record 28 cases (15 %) of neural injuries
with full recovery between two and six months time.The
most frequent permanent damage was cubitus varus in 23 cases
(12%) but with little functional impairment.
Palabras clave (ES):
Infancia
Fractura
Codo
Húmero
Niño
Pediátrica
Infantil
Distal
Supracondílea
Resumen (EN)
A retrospective study of 188 children complaining of
displaced supracondylar fractures of the humerus was performed.
The period of the study was 1986 to 1997 and all the fractures
were treated by closed reduction and percutaneous pinning
with two kirschner wires. Gartland classification was used to
assess the fracture's displacement .The results were studied clinically
and radiologically following Flynn criteria. In the long term
follow up 154 cases (82%) were considered satisfactory. A lack
of radial pulse was reported in 22 cases (12%) and in all of them
a total recovery was achieved after the reduction and stabilization
of the fracture. We also record 28 cases (15 %) of neural injuries
with full recovery between two and six months time.The
most frequent permanent damage was cubitus varus in 23 cases
(12%) but with little functional impairment.
displaced supracondylar fractures of the humerus was performed.
The period of the study was 1986 to 1997 and all the fractures
were treated by closed reduction and percutaneous pinning
with two kirschner wires. Gartland classification was used to
assess the fracture's displacement .The results were studied clinically
and radiologically following Flynn criteria. In the long term
follow up 154 cases (82%) were considered satisfactory. A lack
of radial pulse was reported in 22 cases (12%) and in all of them
a total recovery was achieved after the reduction and stabilization
of the fracture. We also record 28 cases (15 %) of neural injuries
with full recovery between two and six months time.The
most frequent permanent damage was cubitus varus in 23 cases
(12%) but with little functional impairment.
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