[Primary Osteosynthesis Failure of the Humerus Supracondylar Fractures in Children, Re-osteosynthesis by Percutaneous Pinning after Conservative Rereduction.].
A total of 335 supracondylar fractures of the humerus in children up to 15 years were treated at the Clinic of Pediatric Surgery and Traumatology in Brno in the period of 6.5 years (1992 to the middle of 1998). In five patients we managed a state following the failure of primary osteosynthesis performed either by an open technique or a percutaneous pinning technique. All cases were managed by percutaneous re-transfixation after conservative rereduction. Total results can be evaluated in two patients only so far, once as excellent and once as good. Failure of osteosynthesis is almost exclusively caused by incorrect technical performance.This type of a fracture requires attention and adequate therapeutic approach while using adequate equipment. Key words: supracondylar fracture of the humerus in children, failure of osteosynthesis, percutaneous pinning.
Gál
P
P
Centrum detské traumatologie, Brno.