Minimally invasive surgical techniques for irreducible supracondylar fractures of the humerus in children

Seung-Woo Suh, Chang Wug Oh, Viraj U. Shingade, M. Keny Swapnil, Byung Chul Park, Seok Hyun Lee, Hae Ryong Song

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Abstract

Background: Treatment of severely displaced supracondylar fracture of the humerus in children remains a challenge. We retrospectively assessed the outcomes of the minimally invasive open reduction techniques used in our institutions for the treatment of grade 3 supracondylar fractures in children which could not be reduced by closed manipulation. Patients and methods: 78 children (58 boys) with severely displaced supracondylar fractures of the humerus and severe swelling were treated with either a minimal incision in the anticubital fossa and manipulation of the distal fragment with the thumb, or a small stab incision and manipulation of the fracture fragment with a small-sized suction tip. The fractures were stabilized with 1.6-mm Kirschner wires. Results and interpretation: The outcome after a follow-up of at least 3 years was excellent in 76 cases and poor in 2 cases. No scar contractures or other complications were observed. These techniques seem safe and effective in the treatment of irreducible grade 3 supracondylar fractures of the humerus in children. Copyright

Original languageEnglish
Pages (from-to)862-866
Number of pages5
JournalActa Orthopaedica
Volume76
Issue number6
DOIs
Publication statusPublished - 2005 Dec 1

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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