Displaced supracondylar fractures of the humerus in children.
In a 3-year period, 101 children were admitted to hospital with supracondylar fractures of the humerus. Eight-six were examined an average of 3.7 years after the injury. Forty-seven cases were treated with closed reduction and plaster bandage. After an unsuccessful attempt at closed reduction, 39 cases were treated with percutaneous K-wire pinning and plaster. The cases treated with percutaneous pinning thus include the most severe fractures. Nevertheless, the results at follow-up in these cases easily equalled those obtained by closed reduction for the less displaced fractures. They were also comparable with reported results of extension treatment and, in contrast, required only a few days of hospitalisation.
D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D006810:Humeral Fractures / Q000503:physiopathology / Q000601:surgery*; D007103:Immobilization; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery; D008297:Male; D011859:Radiography