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Supracondylar humeral fracture

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https://www.readbyqxmd.com/read/27862888/brometh-methodology-to-design-safe-reconfigurable-medical-robotic-systems
#1
Mohamed Oussama Ben Salem, Olfa Mosbahi, Mohamed Khalgui, Zied Jlalia, Georg Frey, Mahmoud Smida
BACKGROUND: This research paper deals with the development of a medical robotized control system for supracondylar humeral fracture treatment. Concurrent access to shared resources and applying reconfiguration scenarios can jeopardize the safety of the system. METHODS: A new methodology is proposed in this paper, termed BROMETH, to guarantee the safety of such critical systems from their specification to their deployment, and passing through certification and implementation...
November 14, 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/27852912/in-children-with-supracondylar-humeral-fractures-crossed-pins-increased-fracture-stability-compared-with-lateral-pins
#2
Norman Y Otsuka
No abstract text is available yet for this article.
November 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27849325/how-safe-is-the-semi-sterile-technique-in-the-percutaneous-pinning-of-supracondylar-humerus-fractures
#3
Ali Turgut, Burak Önvural, Cemal Kazımoğlu, Tayfun Bacaksız, Önder Kalenderer, Haluk Ağuş
BACKGROUND: The purpose of the present study was to evaluate safety and efficiency of the semi-sterile technique used in recent years in treatment of pediatric supracondylar humeral fractures (SHF). METHODS: Total of 712 patients who were treated for SHF via closed reduction and percutaneous fixation with semi-sterile technique were enrolled in present study. Patients were evaluated for postoperative infection and other complications. Clinical and radiological assessments were also made...
September 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27824796/the-use-of-a-transolecranon-pin-in-the-treatment-of-pediatric-flexion-type-supracondylar-humerus-fractures
#4
Brandon M Green, Joseph D Stone, Robert W Bruce, Nicholas D Fletcher
BACKGROUND: Flexion-type supracondylar humerus fractures are much more uncommon than their extension-type counterparts. Instability in elbow flexion renders traditional closed techniques inadequate and often results in the need for open reduction. We present a simple technique for closed reduction using a transolecranon pin for temporary stability. METHODS: A retrospective review of 9 patients treated with a transolecranon pin technique for a flexion-type supracondylar humerus fracture was performed...
November 7, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27782937/comparison-of-daytime-and-after-hours-surgical-treatment-of-supracondylar-humeral-fractures-in-children
#5
Suavi Aydoğmuş, Tahir Mutlu Duymuş, Tolga Keçeci, Levent Adiyeke, Adnan B Kafadar
: Reports on different types of surgical procedures show that night-time surgeries are often associated with a high number of complications than daytime surgeries. However, there are no data, and hence evidence that relate the outcome of supracondylar humeral fractures in children to the time of the day when the respective surgical procedure is implemented. In this study, we analyze the clinical and radiological outcomes of pediatric supracondylar humeral fractures surgically treated during daytime and night-time hours...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27774833/outcome-after-pin-fixation-of-supracondylar-humerus-fractures-in-children-postoperative-radiographic-examinations-are-unnecessary
#6
Noora Tuomilehto, Reetta Kivisaari, Antti Sommarhem, Aarno Y Nietosvaara
Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients and methods - 252 Gartland-III and 12 flexion-type supracondylar humerus fractures were pin-fixed in the periods 2002-2006 and 2012-2014...
October 24, 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27726752/imaging-the-injured-pediatric-athlete-upper-extremity
#7
Jorge Delgado, Diego Jaramillo, Nancy A Chauvin
Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. The imbalance in strength between the growing bones and the nearby tendons and ligaments makes the bones prone to acute and chronic injuries...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27694598/the-long-term-outcome-of-childhood-supracondylar-humeral-fractures-a-population-based-follow-up-study-with-a-minimum-follow-up-of-ten-years-and-normal-matched-comparisons
#8
J-J Sinikumpu, S Victorzon, T Pokka, E-L Lindholm, T Peljo, W Serlo
AIMS: We present the clinical and radiographic outcome of 81 children with Gartland type I to III supracondylar humeral fractures at a minimum follow-up of ten years (mean 12.1 years; 10.3 to 16.1) following injury. PATIENTS AND METHODS: The clinical and functional outcomes are compared with normal age- and gender-matched individuals. The population-based study setting was first identified from the institutional registries; the rate of participation was 76%. Controls were randomly selected from Finnish National Population Registry...
October 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27636909/nonoperative-treatment-of-type-iia-supracondylar-humerus-fractures-comparing-2-modalities
#9
Lauren Roberts, Jason Strelzow, Emily K Schaeffer, Christopher W Reilly, Kishore Mulpuri
BACKGROUND: Although the recommended treatment for Gartland types I and III supracondylar humeral fractures is well-established, the optimal treatment for type II fractures without rotational malalignment remains controversial, involving circumferential casting or closed reduction and pinning. Our institution uses pronated flexion-taping for Gartland type IIA fractures. This theoretically removes external pressure secondary to circumferential casting, potentially decreasing risks of compartment syndrome and mitigating loss of reduction with extension while maintaining optimal flexion position for reduction...
September 15, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27622613/a-prospective-randomised-non-blinded-comparison-of-conventional-and-dorgan-s-crossed-pins-for-paediatric-supracondylar-humeral-fractures
#10
Sinisa Dučić, Vladimir Radlović, Bojan Bukva, Zoran Radojičić, Goran Vrgoč, Iva Brkić, Tatjana Jaramaz Dučić, Hari Jurdana, Dusan Abramović, Nikola Bojović, Lovro Štefan
BACKGROUND: Closed reduction and percutaneous pinning are the preferred treatment of displaced supracondylar humeral fractures in children. The purpose of this study is to evaluate the non-standard Dorgan's method and compare its results with those of the standard percutaneous cross pinning method in treatment of unstable or irreducible Gartland type II and III supracondylar humeral fractures in children. PATIENTS AND METHODS: This was a prospective evaluation of 138 consecutive patients with Gartland type II or III extension supracondylar humeral fractures referred to University Children's Hospital during a four-year period...
September 7, 2016: Injury
https://www.readbyqxmd.com/read/27598607/medial-mini-open-versus-percutaneous-pin-fixation-for-type-iii-supracondylar-fractures-in-children
#11
Ersin Erçin, Mustafa Gökhan Bilgili, Emre Baca, Serdar Hakan Başaran, Alkan Bayrak, Cemal Kural, Mustafa Cevdet Avkan
BACKGROUND: The present objective was to compare medial mini-open and percutaneous treatment of pediatric supracondylar fractures according to fluoroscopy time, duration of surgery, and iatrogenic ulnar nerve injury. METHODS: A total of 104 Gartland type III supracondylar humerus fractures were prospectively evaluated between 2011 and 2013. Patients were divided into 2 groups according to type of fixation. In Group A (41 patients), medial pin was inserted with mini-open incision with 2 lateral pins inserted percutaneously...
July 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27596688/results-of-crossed-versus-lateral-entry-k-wire-fixation-of-displaced-pediatric-supracondylar-humeral-fractures-a-systematic-review-and-meta-analysis
#12
A E Dekker, P Krijnen, I B Schipper
PURPOSE: Supracondylar humeral fractures (SCHF) are among the most common injuries in children. The aim of this systematic review was to investigate functional and radiographic outcome after crossed and lateral K-wire fixation for displaced extension-type SCHF, and complications related to the type of K-wire construction used. METHODS: RCTs and prospective comparative cohorts on the functional outcome and complications after fracture reduction and K-wire fixation were identified in MEDLINE, Embase, Web of Science and the Cochrane Library...
August 29, 2016: Injury
https://www.readbyqxmd.com/read/27580309/quantification-of-radiation-exposure-in-the-operating-theatre-during-management-of-common-fractures-of-the-upper-extremity-in-children
#13
J F Maempel, O D Stone, A W Murray
Introduction Surgical procedures to manage trauma to the wrist, forearm and elbow in children are very common. Image intensifiers are used routinely, yet studies/guidelines that quantify expected radiation exposure in such procedures are lacking. Methods Information on demographics, injury type, surgeon grade and dose area product (DAP) of radiation exposure per procedure was collected prospectively for 248 patients undergoing manipulation/fixation of injuries to the elbow, forearm or wrist at a paediatric hospital over 1 year...
September 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27578052/biomechanical-properties-of-orthogonal-plate-configuration-versus-parallel-plate-configuration-using-the-same-locking-plate-system-for-intra-articular-distal-humeral-fractures-under-radial-or-ulnar-column-axial-load
#14
Toshiya Kudo, Akira Hara, Hideaki Iwase, Satoshi Ichihara, Masashi Nagao, Yuichiro Maruyama, Kazuo Kaneko
INTRODUCTION: Previous reports have questioned whether an orthogonal or parallel configuration is superior for distal humeral articular fractures. In previous clinical and biomechanical studies, implant failure of the posterolateral plate has been reported with orthogonal configurations; however, the reason for screw loosening in the posterolateral plate is unclear. The purpose of this study was to evaluate biomechanical properties and to clarify the causes of posterolateral plate loosening using a humeral fracture model under axial compression on the radial or ulnar column separately...
October 2016: Injury
https://www.readbyqxmd.com/read/27574256/prone-versus-supine-position-during-surgery-for-supracondylar-humeral-fractures
#15
O Guler, S Mutlu, M Isyar, H Mutlu, H Cerci, M Mahirogullari
PURPOSE: To compare the supine versus prone position in closed reduction and percutaneous pinning for supracondylar humeral fractures in children in terms of patient characteristics and outcome. METHODS: Records of 25 girls and 31 boys aged 4 to 9 (mean, 6.7) years who underwent closed reduction and percutaneous pinning in the prone (n=27) or supine (n=29) position each by one experienced surgeon for supracondylar extension type-3 humeral fractures were reviewed...
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27506570/treatment-of-displaced-supracondylar-humeral-fractures-in-children-by-humero-ulnar-external-fixation
#16
Aleksandra Bogdan, Jean Quintin, Frédéric Schuind
PURPOSE: Humero-ulnar external fixation has been proposed to treat complex supracondylar humeral fractures in children. It facilitates fracture reduction and reduces the risk of ulnar nerve lesion, which can occur after cross pinning. METHODS: In a ten year period, 28 children have been operated on in our centre by humero-ulnar external fixation, for Lagrange-Rigault stages III and IV supracondylar humeral fractures. The data about fracture management and early follow-up were obtained from our medical database...
August 9, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27490996/neurological-and-vascular-complications-associated-with-supracondylar-humeral-fractures-in-children
#17
Brian P Scannell, Brian K Brighton, Kelly L VanderHave
No abstract text is available yet for this article.
December 8, 2015: JBJS Reviews
https://www.readbyqxmd.com/read/27432464/clinical-significance-of-anterior-humeral-line-in-supracondylar-humeral-fractures-in-children
#18
Hsuan-Kai Kao, Wei-Chun Lee, Wen-E Yang, Chia-Hsieh Chang
INTRODUCTION: Anterior humeral line (AHL) location is commonly used to evaluate sagittal alignment after fracture reduction in children with supracondylar humeral fractures. However, the position of the AHL for acceptable fracture reduction has not been validated by clinical outcome. The purpose of this study was to investigate the relationship between the location of AHL and range of elbow motion. PATIENTS AND METHODS: We retrospectively reviewed 101 children who underwent closed reduction and percutaneous pinning for Gartland type III supracondylar humeral fractures between January 2009 and June 2014...
July 1, 2016: Injury
https://www.readbyqxmd.com/read/27276857/displaced-supracondylar-humeral-fractures-in-children-comparison-of-three-treatment-approaches
#19
COMPARATIVE STUDY
Sinisa Ducić, Marko Bumbasirević, Vladimir Radlović, Petar Nikić, Zoran Bukumirić, Radivoj Brdar, Zoran Radojicić, Bojan Bukva, Dusan Abramović, Tatjana Jaramaz Ducić
INTRODUCTION: Closed reduction and percutaneous pinning are the most widely used treatment options for displaced supracondylar humerus fractures in children, but there is still no consensus concerning the most preferred technique in injuries of the extension type. OBJECTIVE: The aim of this study was to compare three common orthopaedic procedures in the treatment of displaced extension type supracondylar humerus fractures in children. METHODS: Total of 93 consecutive patients (66 boys and 27 girls) referred to our hospital with Gartland type II or III extension supracondylar humeral fractures were prospectively included in the study over a six-year period...
January 2016: Srpski Arhiv za Celokupno Lekarstvo
https://www.readbyqxmd.com/read/27241519/a-radiographic-investigation-of-the-relationships-between-humeral-cortical-bone-thickness-medullary-canal-width-and-the-supratrochlear-aperture-sta
#20
Robert Ndou, Sovana Maharaj, Lynne Alison Schepartz
The supratrochlear aperture (STA) is a perforation of the septum between the olecranon and coronoid fossae of the humerus. Bones with STA are prone to supracondylar fractures and are thought to have narrower medullary canals. Our aim was to explore the relationship of the STA with medullary canal width and humeral size. The study employed a case-control research design with approximately equal numbers of individuals with and without STA from South African Whites, Blacks, and the Mixed ethnic group. Radiographs were taken anteroposteriorly using a Lodox Statscan and Image J(®) software was used to acquire measurements from the radiographs...
May 30, 2016: Surgical and Radiologic Anatomy: SRA
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