Reduction and pinning of pediatric supracondylar humerus fractures in the prone position.
Supracondylar humerus fractures are common pediatric injuries; the preferred treatment for displaced fractures is closed reduction and percutaneous pin fixation. We present a technique for closed reduction and pinning using prone-patient positioning. Prone positioning facilitates fracture reduction and safe pin placement while avoiding elbow hyperflexion. We prefer this technique to the commonly described method of fracture reduction and pinning with the patient supine.
Fowler
T P
TP
University of Iowa Hospitals and Clinics, Iowa City, IA, USA. fowler-timothy@lycos.com
Marsh
J L
JL
D001858:Bone Nails; D002648:Child; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D010372:Pediatrics / Q000295:instrumentation / Q000379:methods; D016684:Prone Position; D019919:Prosthesis Implantation / Q000379:methods*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome