engleski

Treatment of displaced supracondylar fractures of the humerus in children

RESULTS OF TREATMENT OF DISPLACED SUPRACONDYLAR FRACTURES OF THE HUMERUS IN CHILDREN Anko Antabak, Božidar Župančić, Ljiljana Popović, Tomislav Luetić, Stipe Batinica, Slavko Davila Division of Pediatric Surgery, Clinical Hospital Centar Zagreb, Zagreb, Croatia Objectives: To review long-term results of the treatment of displaced supracondylar fractures of the humerus (table 1.) in children. Table 1. Gartland's classification for extension type supracondylar humerus fracture Fracture type Description I Non-displaced II Minimal to moderately displaced: partially intact posterior cortex III Severely displaced: no cortical contact Patients and methods: We undertook a retrospective study of 72 children with displaced supracondylar fractures treated (between January 1985 and December 2000) of the following protocol ; (1) Close reduction under general anaesthesia with fluoroscopic control and plaster immobilisation for displaced fractures with intact posterior cortex (12 children), (2) Close reduction and cross percutaneous K-wire pinning for complete displaced fractures (52 children) and (3) Open reduction and internal fixation by K-wire for unreducible fractures (8 children). A follow-up study was performed on average 32 months (range 12-62 months) after the injury. Clinical outcome was evaluated by loss of elbow motion and change of carrying angle. Results: According to Flynn's criteria (table 2), results were excellent in 77.8 %, good in 16.6 %, fair in 2.8 and poor in 2.8 % children. The cubitus varus is the most frequent long-term complication (18.9 %). Conclusion: Our protocol and outcome (according to Flynn's criteria) were good or excellent results in 95.4 % of patients, provided safe and efficient for displaced supracondylar fractures of the humerus.

Supracondylar fracture; humerus; children

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