36-205
Tratamiento quirúrgico de las fracturas supracondileas de húmero en la infancia.
Surgical treatment of supracondilar humeral fractures in children.
E.L. JUAN GARCíA, A. MARTÍNEZ MARTIN, J. DOMINGO CEBOLLADA, J. CUENCA ESPIERREZ, A. SOLA CORDON, A. HERRERA RODRÍGUEZ. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO MIGUEL SERVET ZARAGOZA
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
Métricas
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Resumen (ES)
A retrospective review of 130 children treated surgically
for displaced supracondylar humeral fractures was
conducted. All patients had a minimum of 12 months followup.
According to Gartland classification, 16% were type II
(21/130) and 84% (111/130) type III. A lack of radial pulse was
reported in 6 cases, with a total recovery after the reduction
and stabilization of the fracture, except in 2 cases. 70%
(91/130) were treated with crossed Kirschner wires. The
results were studied following Flynn criteria, 85% (111/130)
were considered satisfactory. There were 6 failed closed
reductions in the operating room, that required open reduction.
The most frequent permanent damage was cubitus varus
in 9 cases, and 3 children had cubitus valgus, but with little
functional impairment. During the surgery, the most commonly
affected nerve was median (5 cases) and ulnar (5
cases), with neurapraxias mostly recovered in 6 months.
for displaced supracondylar humeral fractures was
conducted. All patients had a minimum of 12 months followup.
According to Gartland classification, 16% were type II
(21/130) and 84% (111/130) type III. A lack of radial pulse was
reported in 6 cases, with a total recovery after the reduction
and stabilization of the fracture, except in 2 cases. 70%
(91/130) were treated with crossed Kirschner wires. The
results were studied following Flynn criteria, 85% (111/130)
were considered satisfactory. There were 6 failed closed
reductions in the operating room, that required open reduction.
The most frequent permanent damage was cubitus varus
in 9 cases, and 3 children had cubitus valgus, but with little
functional impairment. During the surgery, the most commonly
affected nerve was median (5 cases) and ulnar (5
cases), with neurapraxias mostly recovered in 6 months.
Palabras clave (ES):
Operatorio
Suprancondílea
Húmero
Distal
Codo
Infantil
Pediátrica
Fractura
Tratamiento
Quirúrgico
Niño
Infancia
Resumen (EN)
A retrospective review of 130 children treated surgically
for displaced supracondylar humeral fractures was
conducted. All patients had a minimum of 12 months followup.
According to Gartland classification, 16% were type II
(21/130) and 84% (111/130) type III. A lack of radial pulse was
reported in 6 cases, with a total recovery after the reduction
and stabilization of the fracture, except in 2 cases. 70%
(91/130) were treated with crossed Kirschner wires. The
results were studied following Flynn criteria, 85% (111/130)
were considered satisfactory. There were 6 failed closed
reductions in the operating room, that required open reduction.
The most frequent permanent damage was cubitus varus
in 9 cases, and 3 children had cubitus valgus, but with little
functional impairment. During the surgery, the most commonly
affected nerve was median (5 cases) and ulnar (5
cases), with neurapraxias mostly recovered in 6 months.
for displaced supracondylar humeral fractures was
conducted. All patients had a minimum of 12 months followup.
According to Gartland classification, 16% were type II
(21/130) and 84% (111/130) type III. A lack of radial pulse was
reported in 6 cases, with a total recovery after the reduction
and stabilization of the fracture, except in 2 cases. 70%
(91/130) were treated with crossed Kirschner wires. The
results were studied following Flynn criteria, 85% (111/130)
were considered satisfactory. There were 6 failed closed
reductions in the operating room, that required open reduction.
The most frequent permanent damage was cubitus varus
in 9 cases, and 3 children had cubitus valgus, but with little
functional impairment. During the surgery, the most commonly
affected nerve was median (5 cases) and ulnar (5
cases), with neurapraxias mostly recovered in 6 months.
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