OUR CLINICAL RESULTS IN THE TREATMENT OF DISPLACED SUPRACONDYLAR PEDIATRIC HUMERUS FRACTURES AND THE EFFECT OF SURGICAL TIMING ON OUR RESULTS
İbrahim AKMAZ, Ömer ARPACIOĞLU, Özcan PEHLİVAN, Can SOLAKOĞLU, Ahmet KIRAL
GATA Haydarpaşa Eğitim Hastanesi Ortopedi ve Travmatoloji Servisi, İstanbul
Keywords: Supracondylar, humerus, fracture, timing.
Introduction: The purpose of this study is to present our clinical end radiological results of the treatment of pediatric displaced supracondylar fractures of the humerus and the effect of the surgical timing on our results.
Patients and methods: We retrospectively reviewed supracondyler fractures of the humerus of the 34 children. The time for operation was within the first 8 hours after the initial injury in 24 patients (Group-I) and later then 8 hours in 10 patients (Group II). Four childeren in Group I was reoperated due to loss of the reduction and they were not added to Group II. The mean age of the patients was 6,9 years in Group I and 5,7 years in Group II. The average time between the injury and the operation was 4 hours in Group I and 11 hours in Group II.
Results: We obtained 95% satisfactory result cosmetically and 100% satisfactory result functionally in Group I and 100% satisfactory result both cosmetically and functionally in Group II. Totally, the rate of satisfactory results were 97% cosmetically and 100% functionally.
Discussion: We did not find any significant difference between two groups, in respect to postoperative cosmetic and functional results. It’s not true that all pediatric displaced supracondylar fractures of the humerus must be operated emergently and many of them can be operated safely in a delayed manner with excellent clinical results.