title: Mid-term results of pediatric vascular injured supracondylar humerus fractures and surgical approach.
abstract: The purpose of this study was to describe our experience with poorly perfused hands after supracondylar fracture of the humerus (SFH) in children and to present mid-term outcomes of a single trauma center. This is a retrospective analysis of SFH patients with vascular injuries, conducted from 2003 to 2012. Nine patients (2.1% of all SFH patients) underwent vascular reconstruction with no hand perfusion after adequate reduction and fixation at a mean age of 8.3 years (± 1.8, range 4-12 years). No amputation was needed, and satisfactory elbow and hand functions were obtained. Immediate close anatomic reduction and pinning with re-evaluation of hand perfusion is mandatory for SFH patients with suspected vascular injury before vascular exploration.
authors.affiliation: aDepartment of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University bDepartment of General Surgery, Liv Hospital, Bahcesehir University, Istanbul cDepartment of Orthopedics and Traumatology, Agri State Hospital, Agri, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Saglam
authors.forename: Onur
authors.initials: O
authors.lastname: Tunali
authors.forename: Turgut
authors.initials: T
authors.lastname: Akgul
authors.forename: Goksel
authors.initials: G
authors.lastname: Dikmen
authors.forename: Murat
authors.initials: M
authors.lastname: Aksoy
authors.forename: Fatih
authors.initials: F
authors.lastname: Dikici
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery*; D008297:Male; D059348:Peripheral Nerve Injuries / Q000209:etiology* / Q000601:surgery; D011674:Pulse; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures; D000092464:Elbow Injuries