[Supracondylar fractures of the humerus and disorders of circulation].
Supracondylar fractures (SF) of the humerus are the third most common type of fractures in childhood. The highest rate of pulselessness fracture of the distal humerus is the extension-type. The aim of our treatment is to minimize potential complications. Our management of pulselessness supracondylar fracture is more aggressive compared with other dpts. 223 (100%) patients with SF were treated at the dpt. of Paediatric Surgery, University Children's Hospital in Bratislava, in the 5-year period of (1995-1999). 11 (4.93%) patients remained pulseless after reposition of bone fragments. These patients underwent surgical revision of the brachial artery. Spasms of the brachial artery (BA) occurred in six patients, a lesion of BA in three patients and thrombosis of BA in two patients. We performed revision of the brachial artery by a Fogarthy catheter in six patients--in four cases with thrombectomy. In two cases we released the vessel from bone fragments. In two patients was replaced the injured segment of the brachial artery by a venous allotransplant. Peroperative angiography was performed in six patients. We reoperated three patients with early postoperative complications. We did not record any case of Volkmann's contracture.
Babala
J
J
Klinika detskej chirurgie LF UKo a DFNsP, Bratislava, Slovenská republika. babala@healthnet.sk
Horn
F
F
Sýkora
L
L
Cingel
V
V
Vidiscák
M
M
Haviar
D
D
Siman
J
J
D001916:Brachial Artery / Q000293:injuries* / Q000601:surgery; D002648:Child; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery*; D013035:Spasm / Q000150:complications; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
Suprakondylická zlomenina humeru s poruchou cirkulácie.