Open or closed pinning for distal humerus fractures in children?

Détails

ID Serval
serval:BIB_5DE28EAD3176
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Open or closed pinning for distal humerus fractures in children?
Périodique
Swiss Surgery
Auteur(s)
de Buys Roessingh A.S., Reinberg O.
ISSN
0007-1323
1023-9332
Statut éditorial
Publié
Date de publication
2003
Volume
9
Numéro
2
Pages
76-81
Langue
anglais
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 10:12
Dernière modification de la notice
03/03/2018 17:37
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