Open or closed pinning for distal humerus fractures in children?

Details

Serval ID
serval:BIB_5DE28EAD3176
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Open or closed pinning for distal humerus fractures in children?
Journal
Swiss Surgery
Author(s)
de Buys Roessingh A.S., Reinberg O.
ISSN
0007-1323
1023-9332
Publication state
Published
Issued date
2003
Volume
9
Number
2
Pages
76-81
Language
english
Abstract
INTRODUCTION: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. PATIENTS AND METHODS: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. RESULTS: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). CONCLUSIONS: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.
Keywords
Adolescent, Bone Nails, Child, Child, Preschool, Elbow Joint/injuries, Elbow Joint/radiography, Female, Follow-Up Studies, Fracture Fixation, Internal/methods, Fracture Healing/physiology, Humans, Humeral Fractures/radiography, Humeral Fractures/surgery, Infant, Male, Outcome and Process Assessment (Health Care), Postoperative Complications/radiography, Retrospective Studies, Surgical Procedures, Minimally Invasive/methods
Pubmed
Create date
28/01/2008 9:12
Last modification date
20/08/2019 14:15
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