[Osteosynthesis with Kirschner wires in the treatment of dislocated supracondylar humeral fractures in children].
BACKGROUND
Elbow fractures account for 7-9% of all fractures in childhood, while the supracondylar type is the most common (up to 70%). 84% of all supracondylar elbow fractures occur under the age of 10 years (most often between the age of 5 and 8). The aim of this study was to present the technique and results of treatment of supracondylar fractures with grade III fragment dislocation in pediatric population. Treatment included orthopedic repositioning and percutaneous pin fixation.


METHODS
Over the period 1991-2000, 255 patients were hospitalized due to supracondylar fracture of the humerus with grade III fragment dislocation at the Pediatric Surgery Clinic in Novi Sad. All patients were aged 3-15 years. Orthopedic repositioning and percutaneous pin fixation under X-ray control was performed in 243 patients (95.29%).


RESULTS
This study included 167 (65.5%) patients with full documentation. Extensor type of fracture was verified in 151 patients (90.42%). Male patients predominated over female patients--119:48. The average follow-up period was 4, 5 months. On the basis of clinical examination, and after completed rehabilitation, satisfactory results were obtained in 158 patients (94.6%), while in 9 patients the final outcome was unsatisfactory.


CONCLUSIONS
Literature analysis points to advantages of orthopedic repositioning and percutaneous pin fixation, with certain modifications in the treatment of supracondylar elbow fractures with grade III dislocation.


CONCLUSIONS
Obtained results of treatment, advantages of this procedure, and our experience, suggest that orthopedic repositioning and percutaneous pin fixation is a procedure of choice in treatment of supracondylar elbow fractures with third III dislocation in children.
Klinika za decju hirurgiju, Institut za zdravstvenu zastitu dece i omladine, Novi Sad. nemjeljo@Eunet.yu
Dorde
D
Gajdobranski
Dusan
D
Marić
Milanka
M
Tatić
Dusanka
D
Durić-Nosek
Aleksandra
A
Mikov
D000293:Adolescent; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D004550:Elbow / Q000000981:diagnostic imaging; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D000092464:Elbow Injuries