Tratamiento de las fracturas supracondíleas de húmero con desplazamiento en niños
- Caso García, Alfredo
- López Fernández, P
- Cimadevilla González, María Paz
- Núñez Batalla, Daniel
- Paz Jiménez, José
ISSN: 0304-5056
Year of publication: 1999
Volume: 34
Issue: 200
Pages: 201-208
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
A retrospective study of 188 children complaining of displaced supracondylar fractures of the humerus was performed. The period of the study was 1986 to 1997 and all the fractures were treated by closed reduction and percutaneous pinning with two kirschner wires. Gartland classification was used to assess the fracture's displacement. The results were studied clinically and radiologically following Flynn criteria. In the long term follow up 154 cases (82%) were considered satisfactory. A lack of radial pulse was reported in 22 cases (12%) and in all of them a total recovery was achieved after the reduction and stabilization of the fracture. We also record 28 cases (15%) of neural injuries with full recovery between two and six months time. The most frequent permanent damage was cubitus varus in 23 cases (12%) but with little functional impairment.