title: Flexion type supracondylar humerus fractures: 12 year experience of a pediatric orthopedics clinic.
abstract: OBJECTIVE
  This study aims to review flexion type supracondylar humerus fractures in children and treatment options.
  
  
  METHODS
  Forty-seven patients (26 males, 21 females; mean age 8.6±3.2 years; range 4 to 15 years) who admitted to and were hospitalized in a pediatric orthopedics clinic between January 2002 and January 2014 due to flexion type supracondylar humerus fracture were included in this retrospective study. Fractures were classified according to Wilkins modification of Gartland system. Closed reduction and percutaneous pinning (CRPP) were administered in all patients with type 2 and 3 fractures. An overhead traction or open reduction was applied when closed reduction could not be achieved with three manipulations. Patients were evaluated clinically and radiologically. The results were graded according to Flynn criteria.
  
  
  RESULTS
  Four patients with type 1 fracture were treated conservatively. Of the remaining patients, we were able to perform CRPP successfully in 36 (83.7%). While six patients (14%) were treated with open reduction and internal fixation, one patient (2.1%) was treated with overhead traction. The results were excellent or good in 44 patients (93.7%).
  
  
  CONCLUSIONS
  Compared with extension type fractures, these fractures are seen in older children and are rarer. One should be prepared to perform open reduction especially for type 3 fractures. In our study, results of patients with type 3 fractures treated with CRPP were superior.
authors.affiliation: Department of Orthopedics and Traumatology, Tepecik Training and Research Hospital, 35120 Konak, İzmir, Turkey. draliturgutort@yahoo.com.tr.
authors.forename: Ali
authors.initials: A
authors.lastname: Turgut
authors.forename: Önder
authors.initials: Ö
authors.lastname: Kalenderer
authors.forename: Muhammet
authors.initials: M
authors.lastname: Bozoğlan
authors.forename: Tayfun
authors.initials: T
authors.lastname: Bacaksız
authors.forename: Haluk
authors.initials: H
authors.lastname: Ağuş
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis / Q000601:surgery; D006811:Humerus / Q000000981:diagnostic imaging / Q000293:injuries; D008297:Male; D009985:Orthopedics / Q000379:methods; D010372:Pediatrics / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey