title: The surgical treatment of supracondylar fractures of the humerus in children by percutaneous fixation using Kirschner wires: analysis of residual deformities.
abstract: The authors report the results of the surgical treatment of supracondylar fractures of the humerus during childhood by closed reduction and percutaneous synthesis using Kirschner wires. A total of 16 patients were considered, who were re-examined at a mean follow-up of 57.9 months (24-84). The fractures were evaluated according to the Gartland classification modified by Wilkins. The results were classified based on Flynn criteria, and the duration of hospitalization and early and late complications such as neurovascular deficit and residual deformities were also taken into consideration. Final results were satisfactory in 94% of cases with no septic, vascular, or nervous complications. We observed remodeling of three fractures with defect in reduction of the distal fragment on a sagittal plane, and the absence of correction in a case of deficit in reduction on the frontal plane. Deformity persisted with no secondary displacement in 5 cases with correct postoperative reduction.
authors.affiliation: Istituto di Clinica Ortopedica e Traumatologia Mario Boni Università degli Studi dell'Insubria, Ospedale di Circolo Varese.
authors.forename: G
authors.initials: G
authors.lastname: Zatti
authors.forename: A
authors.initials: A
authors.lastname: Bini
authors.forename: M
authors.initials: M
authors.lastname: De Pietri
authors.forename: P
authors.initials: P
authors.lastname: Cherubino
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome