keyword
https://read.qxmd.com/read/38500420/-comparative-study-of-external-fixator-combined-with-kirschner-wire-fixation-and-kirschner-wires-fixation-in-treatment-of-cubitus-varus-deformity-in-children
#1
JOURNAL ARTICLE
Kang Xie, Ziwen Hu, Sicheng Zhang, Guoqiang Jia, Bin Jin, Xiangjun Chu, Jun Sun
OBJECTIVE: To analyze the effectiveness comparison of external fixator combined with Kirschner wire fixation and Kirschner wire fixation in the treatment of cubitus varus deformity in children. METHODS: A retrospective case-control study was conducted to collect 36 children of postoperative supracondylar humerus fracture complicating cubitus varus deformity between January 2018 and July 2022. Among them, 17 cases were treated with distal humeral wedge osteotomy external fixation combined with Kirschner wire fixation (observation group), and 19 cases were treated with distal humeral wedge osteotomy and Kirschner wire fixation (control group)...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38454784/long-standing-nonunited-fracture-lateral-humeral-condyle-in-children-evaluating-a-two-stage-surgical-treatment-strategy-with-critical-review
#2
JOURNAL ARTICLE
Ashraf A Khanfour
OBJECTIVE: This work aimed to evaluate the results of using a 2-stage surgical treatment strategy without doing anterior transposition of the ulnar nerve (ATUN) for cases with long-standing nonunited fracture lateral humeral condyle (LHC) in children, accompanied by a critical review. METHODS: A consecutive 12 children with a long-standing ">2 years" nonunited LHC with evident radiologic gross anatomic distortion of the elbow were included in this study. A 2-stage surgical treatment strategy was applied, wherein the first stage, open functional reduction, osteosynthesis, and iliac bone graft were done...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38428670/international-perspective-on-extremity-vascular-trauma-in-children-a-scoping-review
#3
REVIEW
N Moody, A Walter, Daudu Davina, Wahlgren Carl-Magnus, Jongkind Vincent
OBJECTIVE: Extremity vascular trauma in children can result in significant morbidity and mortality. Most published studies have focused on supracondylar humeral fracture related injuries, with little focus on other injuries. This scoping review describes the current state of knowledge on paediatric vascular injuries in upper and lower limbs, excluding injuries related to supracondylar humeral fractures. METHODS: MEDLINE, PubMed, Web of Science, and Cochrane databases were searched for relevant studies evaluating the epidemiology, diagnosis, management, and outcomes of upper and lower limb vascular trauma in those aged under 18 years...
February 28, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38405659/residual-deformity-of-the-trochlea-after-non-displaced-supracondylar-fracture-in-a-child-a-case-report
#4
Hideaki Ishii, Takanori Shintaku, Shu Yoshizawa, Takahiro Maeda, Hiroyasu Ikegami
Residual deformity of the trochlea after fractures of the distal end of the humerus in children is well known and is referred to as fishtail deformity. Despite numerous reports on this entity, the reason for various types of fractures with the same results remains unknown. Fishtail deformities after non-displaced supracondylar fractures are very rare. A 7-year-old boy with a non-displaced supracondylar fracture was treated conservatively. Three years later, the patient returned to our hospital complaining of mild elbow pain...
February 2024: Curēus
https://read.qxmd.com/read/38375829/conservative-versus-surgical-treatment-of-gartland-type-ii-supracondylar-humeral-fractures-in-children
#5
JOURNAL ARTICLE
Danjiang Zhu, Yuwei Wen, Qiang Wang, Baojian Son, Wei Feng
The purpose of the study was to compare the efficacy of conservative and surgical treatments for Gartland type II supracondylar humerus fractures in children. We assessed 142 patients with type II supracondylar humerus fractures treated in our hospital from February 2018 to February 2019. The patients were divided into two groups: initial conservative treatment (Group A) and initial surgical treatment (Group B). Clinical outcomes were measured by the Flynn scoring system. Variables were analyzed using a statistical approach between those groups...
February 19, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38348436/research-hotspots-for-pediatric-fractures-from-2017-to-2022-a-bibliometric-and-visual-analysis-via-citespace
#6
JOURNAL ARTICLE
Huan Wang, Ya-Ting Yang, Qing-da Lu, Chen-Xin Liu, Huan-An Bai, Jia-Ju Wang, Qiang Jie
OBJECTIVE: This review provides guidance and ideas for researchers through a comprehensive and comparative analysis of the present state, trends, and hotspots in the pediatric fracture literature over the past 6 years. METHODS: We used Citespace 6.1.R6 software to explore the country/region distribution, institutions, journals, keyword analysis, and co-cited references of the literature from Web of Science core database. RESULTS: There are 6472 pieces of pediatric fracture-related literature, including 2962 from 2017 to 2019 and 3510 from 2020 to 2022...
February 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38329322/postoperative-immobilization-period-for-pediatric-supracondylar-fractures-the-shorter-the-better
#7
JOURNAL ARTICLE
Neil John Jones, Essa Zarook, Anouska Ayub, Dimitrios Manoukian, Claudia Maizen, Paulien Bijlsma, Manoj Ramachandran, Gregory Firth
BACKGROUND: There are now recognized standards of care published by the British and American Orthopaedic Associations which detail key areas of evidence-based recommendations for the treatment of children with displaced supracondylar humerus fractures. Although many aspects of treatment are covered in these recommendations, both the American and British Orthopaedic Associations do not recommend the exact duration of immobilization postoperatively. METHODS: This study retrospectively compared outcomes of operatively managed supracondylar fractures immobilized postoperatively for short immobilization (SI) defined as 28 days or less, with long immobilization (LI) defined as more than 28 days...
February 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38299643/use-of-lateral-exit-crossed-pin-fixation-for-pediatric-supracondylar-humeral-fractures-a-retrospective-case-series
#8
JOURNAL ARTICLE
Andreas Rehm, Sherif Elerian, Ramy Shehata, Rachael Clegg, Elizabeth Ashby
No abstract text is available yet for this article.
March 1, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38299641/incidence-risk-factors-and-consequences-of-radiographic-pin-migration-after-pinning-of-pediatric-supracondylar-humeral-fractures
#9
JOURNAL ARTICLE
Andreas Rehm, Rachael Clegg, Pinelopi Linardatou Novak, Jehan Butt, Katerina Hatzantoni
No abstract text is available yet for this article.
March 1, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38202175/evaluation-of-gartland-classification-baumann-angle-and-anterior-humeral-line-in-paediatrics-supracondylar-fractures-an-inter-and-intra-observer-reliability-study
#10
JOURNAL ARTICLE
Valeria Calogero, Angelo Gabriele Aulisa, Silvia Careri, Giulia Masci, Giuseppe Mastantuoni, Francesco Falciglia, Renato Maria Toniolo
Supracondylar fractures of the humerus are frequent paediatric injuries. The aims of this study were to evaluate the applicability and reproducibility of the Gartland and Wilkins classification, the Baumann angle (BA) and the Anterior Humeral Line (AHL). This retrospective monocentric observational study was conducted on 217 patients. Four observers assessed the pre-operative radiographs by applying the Gartland and Wilkins classification and the post-operative X-rays by measuring the BA and AHL. The kappa coefficient (K) and the Cohen's kappa were used for the reliability of the Gartland classification; the Intraclass Correlation Coefficient (ICC) for that of the BA...
December 28, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38193506/surgical-strategies-in-pediatric-supracondylar-humeral-fractures-our-experience
#11
JOURNAL ARTICLE
Giuseppe Maccagnano, Giovanni Noia, Michele Coviello, Costantino Stigliani, Giuseppe Danilo Cassano, Daniela Dibello, Vito Pesce, Biagio Moretti
BACKGROUND AND AIM: Supracondylar humeral fractures are the most common skeletal injury of childhood elbow. Treatment option for Gartland type II-III-IV fractures is based on closed reduction and percutaneous pinning (CRPP) fixation using Kirshner wires. Seldom open reduction is needed. Literature described different method of CRPP. The aim of the study is to report our experience in the surgical management of supracondylar humeral fractures comparing it with the literature, in order to identify useful information for a correct and better approach to reduce complications and improve clinical outcomes...
June 23, 2023: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/38189745/systematic-review-of-paediatric-pulseless-pink-humerus-supracondylar-fractures
#12
JOURNAL ARTICLE
Wei Chong Keith Goh, Eric J Y Ong, Nicole Kim Luan Lee, Arjandas Mahadev, Kenneth P L Wong
The supracondylar humeral fracture (SCHF) is the most common fracture seen in children, forming up to 70% of all pediatric elbow fractures. The decision to surgically explore the brachial artery in a well-perfused, pulseless arm remains a controversial one among vascular and orthopedic surgeons and is something we seek to explore in this article. We reviewed the literature from electronic databases such as PubMed and Embase for studies focusing on the management of the pink pulseless hand (PPH) following SCHF...
December 14, 2023: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38167111/the-effects-of-postoperative-malrotation-alignment-on-outcomes-of-gartland-type-iii-iv-paediatric-supracondylar-humeral-fractures-treated-by-close-reduction-and-percutaneous-k-wire-fixation
#13
JOURNAL ARTICLE
Cao Chen, Yafeng Zhang, Hao Chen, Jie Sun, Chen Yao
PURPOSE: In this study, we aimed to investigate the effects of postoperative malrotation alignment on the outcomes of Gartland type III/IV paediatric supracondylar humeral fracture (SCHF) treated by close reduction and percutaneous K-wire fixation. METHODS: Between January 2014 and December 2021, 295 Gartland type III/IV paediatric SCHFs treated by close reduction and percutaneous K-wire fixation were selected for this retrospective study. The demographic, clinical and radiographic parameters of all cases were collected...
January 3, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38164839/comparison-of-complications-and-results-of-early-vs-delayed-surgery-for-pediatric-supracondylar-humeral-fractures
#14
JOURNAL ARTICLE
S A Ulus, M S Akar
OBJECTIVE: Pediatric supracondylar humerus fracture (SCHF) is one of the most common elbow fractures in children aged 5-7 years. There is a continuous discussion regarding the optimal timing for conducting surgery for fractures of this nature. Therefore, we aimed to determine whether the timing of surgery in pediatric SCHFs has an impact on the frequency of early postoperative complications. PATIENTS AND METHODS: Between January 2018 and March 2020, pediatric SCHF patients who underwent surgery at our hospital were retrospectively reviewed...
December 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38146547/radiological-and-clinical-outcomes-of-pediatric-patients-with-a-supracondylar-humerus-fracture-surgically-treated-with-closed-reduction-and-percutaneous-pinning
#15
JOURNAL ARTICLE
Oğuzhan Muslu, Tolgahan Cengiz, Şafak Aydın Şimşek, Alparslan Yurtbay, Davut Keskin
OBJECTIVES: It was aimed to evaluate the clinical and radiological results of patients operated on with closed reduction and pinning due to pediatric supracondylar humerus fractures. MATERIALS AND METHODS: The radiological and clinical results of 100 patients operated on with closed reduction and percutaneous pinning for pediatric supracondylar humerus fractures in the Department of Orthopedics and Traumatology were examined between January 2015 and February 2022...
November 2023: Curēus
https://read.qxmd.com/read/38097631/minimally-invasive-technique-combined-with-external-fixator-in-the-treatment-of-pediatric-flexion-type-humeral-supracondylar-fractures
#16
JOURNAL ARTICLE
ChengMing Zhu, QiYuan Feng, ZiXuan Ou, HaoBo Zhong, Xin Tang
Flexion-type pediatric humeral supracondylar fractures are rare, and the reduction technique remains contradictory. A minimally invasive technique using percutaneous leverage reduction combined with an external fixator was described to achieve satisfactory reduction and avoid the open reduction in this study. The operation and clinical results of patients treated with this technique were retrospectively compared with traditional closed reduction. From January 2013 to January 2018, children diagnosed with displaced flexion-type humeral supracondylar fractures were included in this study...
December 14, 2023: Scientific Reports
https://read.qxmd.com/read/38082369/kirschner-wire-reconstruction-of-medial-and-lateral-column-periosteal-hinge-in-the-treatment-of-multidirectionally-unstable-supracondylar-fracture-of-the-humerus-in-children
#17
JOURNAL ARTICLE
Hai-Long Ma, Xi-Wei Sun, Fang Liu, Zhong Tuo Hua, Jun Sun, Si-Cheng Zhang
AIM AND OBJECTIVE: To compare the clinical effect of reconstruction of internal and lateral column periosteal hinge-assisted treatment with Kirschner wire and internal fixation with Kirschner wire in the treatment of multidirectional unstable supracondylar fractures of humerus in children. METHODS: A retrospective cohort study was conducted to analyze the clinical data of 48 patients (31 male, 17 female; mean age: 6.7 ± 2.4 years old) with multidirectionally unstable supracondylar fractures of the humerus treated in our Hospital from August 2020 to August 2022...
December 12, 2023: European Journal of Medical Research
https://read.qxmd.com/read/38063780/it-s-time-to-rein-in-the-opioids-commentary-on-an-article-by-zoe-e-belardo-ba-et-al-opioid-analgesia-compared-with-non-opioid-analgesia-after-operative-treatment-for-pediatric-supracondylar-humeral-fractures-results-from-a-prospective-multicenter-trial
#18
JOURNAL ARTICLE
https://read.qxmd.com/read/38046701/management-of-open-supracondylar-humeral-fracture-in-children-a-case-report-and-literature-review
#19
Abdallah Boukhentiche, Nazim Benmayouf, Chaouki Derdous, Nouar Boudjouraf, Nacer Khernane
Open supracondylar humeral fractures (SHFs) are rare, and there have been few papers specifically addressing their management. In this report, we describe the management and 27-month outcomes of an open SHF. A healthy eight-year-old boy presented with open SHF of the right elbow and underwent percutaneous lateral fixation using two Kirschner wires (K-wire) after irrigation and debridement (I&D) through an anterior approach. Excellent outcomes were obtained without any complications over a 27-month follow-up period...
November 2023: Curēus
https://read.qxmd.com/read/38042022/the-use-of-ultrasound-for-monitoring-reduction-and-ulnar-nerve-subluxation-in-pediatric-humeral-supracondylar-fractures
#20
JOURNAL ARTICLE
Chien-An Shih, Ming-Tung Huang, Tai-Chang Chern, Chung-Jung Shao, Kuo-Chen Wu, Chii-Jeng Lin, I-Ming Jou, Po-Ting Wu
BACKGROUND: Traditional treatment for displaced humeral supracondylar fractures (SCFs) in children involves closed reduction (CR) under fluoroscopic guidance, percutaneous pinning, and immobilization with a long-arm cast. This study aims to explore the viability of using radiation-free ultrasound (US) for guiding CR and tracking ulnar nerve dynamics during medial pinning, contrasting the US method with the conventional cross pinning technique. MATERIALS AND METHODS: We assessed 70 children with acute displaced SCFs...
November 14, 2023: European Journal of Radiology
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