Manipulation of pediatric supracondylar fractures of humerus in prone position under general anesthesia.
BACKGROUND
Displaced pediatric supracondylar fractures are usually treated with manipulation and fixation with Kirschner wires. The procedure is commonly performed with the patient in supine position. Reducing and stabilizing the fracture with the patient in supine position are associated with various risks and technical difficulties.


METHODS
We describe a technique of manipulative reduction and fixation of pediatric supracondylar fractures by positioning the patient prone.


RESULTS
We have used this technique in 455 patients and prefer it to the commonly described method of fracture reduction and stabilization with the patient supine.


CONCLUSIONS
Positioning the patient prone simplifies the reduction and provides adequate exposure to insert Kirschner wires safely from both medial and lateral aspects. Positioning the C-arm is easily achieved, and good radiographs are obtained without disturbing the reduced fracture.


METHODS
Level III.
Havlas
Vojtech
V
Department of Orthopaedic Surgery, 2nd Medical School, Charles University in Prague, Czech Republic. vojtech.havlas@seznam.cz
Trc
Tomas
T
Gaheer
Rajinder
R
Schejbalova
Alena
A
D000293:Adolescent; D000768:Anesthesia, General; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D016684:Prone Position; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome