کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3238902 1205976 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The outcome of early revision of malaligned pediatric supracondylar humerus fractures
ترجمه فارسی عنوان
نتیجه بروزرسانی اولیه شکستگی های هیپرمارک سوپراکاندیلار کودکان مبتلا به سرطان پستان
کلمات کلیدی
شکستگی انسدادی سوپرا کاندیلار، خستگی بازبینی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundSupracondylar humerus fractures (SCHF) are the most common elbow fractures requiring surgical treatment in the pediatric age group. Most fractures are reduced and stabilised adequately. Yet, post-surgical malunion may occur. The purpose of this study is to evaluate our results of early revision surgery in 21 surgically treated pediatric SCHF with immediate postoperative loss of alignment and compare them with previous reports of late corrective osteotomies.MethodsTwenty-one pediatric SCHF patients that underwent revision surgery for malalignment within 3 weeks of the initial reduction and fixation consisted the study group. Indications for revision were unacceptable radiographic alignment diagnosed within the first 3 weeks after the index surgery. Clinical outcome included pain, range of motion (ROM) and appearance of the elbow. Radiographic outcome was defined as fracture healing and final alignment, assessed in both coronal and sagittal planes.ResultsThe average time interval between index and revision surgery was 7.6 days (range 3–18). In revision surgery, closed reduction was performed in 17 out of 21 patients, and open reduction was required in four. In one patient, an external fixator was added. In the most recent follow up, all patients but three regained full ROM. The remaining three had a deficit of 10° or less. Two patients had cubitus varus of 10° or less. All patients had a marked radiographic improvement after revision, especially in the sagittal plane increasing the humero-capitaller flexion angle by an average of 20°.DiscussionMalunion after reduction and Kirschner wires (KW) fixation of SCHF is an uncommonly reported phenomenon. When malunion is recognised after fracture healing, corrective osteotomies may carry a significant complications rate. We describe our favourable experience with early diagnosis and revision surgery of malaligned SCHF.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 46, Issue 8, August 2015, Pages 1585–1590
نویسندگان
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