title: Closed reduction of the pediatric supracondylar humerus fractures: the "joystick" method.
abstract: BACKGROUND
  Our goal in this study was to propose an alternative closed reduction method to avoid open reduction in the management of pediatric supracondylar humerus fractures. A temporary Kirschner wire is inserted to the proximal part of the humerus to be used as a joystick to have a better control of the proximal fragment.
  
  
  METHODS
  Twenty-three patients with closed Gartland type III extension fractures were operated between 2003 and 2007. Mean age of the patients was 6.7 (4-10) years.
  
  
  METHODS
  Uninjured and fractured elbow's Bauman angles, lateral condylar angles, the carrying angles and ROM values were compared statistically according to independent samples t test.
  
  
  RESULTS
  At a mean follow-up 96.73 weeks (53-150), clinical results using the Flynn criteria were excellent in 21 (91.3%), good in 1(4.35%), fair in 1 (4.35%) patient.
  
  
  CONCLUSIONS
  These results suggest that the "joystick" reduction method is a reliable alternative when closed reduction itself is not successful.
authors.affiliation: Orthopedics and Traumatology Department, Taksim Training and Research Hospital, Siraselviler Street, No 112, Taksim, Istanbul, Turkey.
authors.forename: Atilla Sancar
authors.initials: AS
authors.lastname: Parmaksizoglu
authors.forename: Ufuk
authors.initials: U
authors.lastname: Ozkaya
authors.forename: Fuat
authors.initials: F
authors.lastname: Bilgili
authors.forename: Emrah
authors.initials: E
authors.lastname: Sayin
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Kabukcuoglu
mesh_terms: D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D005471:Fluoroscopy; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D016059:Range of Motion, Articular; D012784:Shoulder Fractures / Q000601:surgery*; D016896:Treatment Outcome