This paper is only available as a PDF. To read, Please Download here.
Abstract
An audit of 32 displaced supracondylar fractures of the humerus in children treated
at the Glasgow Royal Infirmary between June 1990 and September 1992 was carried out.
Six fractures were classified as Grade 2 (one cortex intact) and 26 were Grade 3 (no
cortical contact). All grade 2 fractures were treated non-operatively with good results.
Relatively poor results were obtained when displaced fractures were treated non-operatively
with manipulation and plaster immobilization. Seven patients underwent manipulation
and percutaneous pinning but two developed a cubitus varus deformity. Open reduction
and internal fixation with two K-wires gave the best results with no deformity in
ten patients. We therefore conclude that this is the optimal method of treatment in
a hospital which deals with relatively few completely displaced fractures, with the
cosmetic appearance of the scar being minimized by a medial approach.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Varus deformity in supracondylar fractures of the humerus in children.Injury. 1979; 10: 297
- Cubitus varus deformity following supracondylar fractures of the humerus in children.J Pediatr Orthop. 1982; 2: 539
- 3rd Ed. The Closed Treatment of Common Fractures. E & S Livingstone, Edinburgh1961
- Supracondylar fractures of the humerus in children: treatment by straight lateral traction.J Bone Joint Surg [Br]. 1986; 68B: 577
- Severely displaced supracondylar fractures of the humerus in children: a simple method of treatment.J Pediatr Orthop. 1987; 7: 49
- Blind pinning of displaced supracondylar fractures of the humerus in children. Sixteen years' experience with long-term follow up.J Bone Joint Surg [Am]. 1974; 56A: 263
- Open reduction and internal fixation of displaced supracondylar fractures of the humerus in children.Orthop Clin North Am. 1976; 7: 573
- Management of displaced extension-type supracondylar fractures of the humerus in children.J Bone Joint Surg [Am]. 1988; 70A: 641
- Displaced supracondylar humeral fractures in children.Clin Orthop. 1992; 278: 81
- Surgical treatment of displaced supracondylar fractures of the humerus in children. Analysis of fifty-two cases followed for five to fifteen years.J Bone Joint Surg [Am]. 1978; 60A: 657
- Neurologic complications after K wire fixation of supracondylar humerus fractures in children.J Pediatr Orthop. 1991; 11: 191
- The operative management of supracondylar fractures.Orthop Clin North Am. 1990; 21: 269
Article info
Publication history
Accepted:
May 30,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
