Medial mini-open versus percutaneous pin fixation for type III supracondylar fractures in children

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. In Group B (63 patients), all pins were inserted percutaneously. Mean follow-up time was 14.1 +/- 1.2 months in Group A, and 14.6 +/- 2.1 months in Group B. All patients were postoperatively evaluated for nerve injury with both motor and sensory function assessment. Length of surgery, total fluoroscopy time, fluoroscopy time for medial pin insertion, Baumann's angle, humeral capitellum angle, final carrying angle, and range of motion were recorded. RESULTS: Sensorial evaluation showed that Group A had 3 poor, and 1 fair results, and Group B had 2 poor, and 1 fair results. No statistically significant differences were observed, including no differences in either surgery or total fluoroscopy times between groups. However, fluoroscopy time during medial pin placement was significantly lower in the mini-open group. CONCLUSION: In conclusion, similar results of both techniques were observed, and both carry risk of iatrogenic ulnar nerve injury. Medial pin placement is easier and less demanding when used with mini-open technique.

Yazar Ercin, Ersin
Bilgili, Mustafa Gokhan
Baca, Emre
Basaran, Serdar Hakan
Bayrak, Alkan
Kural, Cemal
Avkan, Mustafa Cevdet
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2922
Tek Biçim Adres 10.5505/tjtes.2015.20268
Konu Başlıkları Fracture
humerus
pediatric
supracondylar fracture
ulnar nerve
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Cilt Bilgisi 22
Dergi Sayısı 4
Sayfalar 350 - 354
Yayın Yılı 2016
Eser Adı
[dc.title]
Medial mini-open versus percutaneous pin fixation for type III supracondylar fractures in children
Yazar
[dc.contributor.author]
Ercin, Ersin
Yazar
[dc.contributor.author]
Bilgili, Mustafa Gokhan
Yazar
[dc.contributor.author]
Baca, Emre
Yazar
[dc.contributor.author]
Basaran, Serdar Hakan
Yazar
[dc.contributor.author]
Bayrak, Alkan
Yazar
[dc.contributor.author]
Kural, Cemal
Yazar
[dc.contributor.author]
Avkan, Mustafa Cevdet
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
TURKISH ASSOC TRAUMA EMERGENCY SURGERY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
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. In Group B (63 patients), all pins were inserted percutaneously. Mean follow-up time was 14.1 +/- 1.2 months in Group A, and 14.6 +/- 2.1 months in Group B. All patients were postoperatively evaluated for nerve injury with both motor and sensory function assessment. Length of surgery, total fluoroscopy time, fluoroscopy time for medial pin insertion, Baumann's angle, humeral capitellum angle, final carrying angle, and range of motion were recorded. RESULTS: Sensorial evaluation showed that Group A had 3 poor, and 1 fair results, and Group B had 2 poor, and 1 fair results. No statistically significant differences were observed, including no differences in either surgery or total fluoroscopy times between groups. However, fluoroscopy time during medial pin placement was significantly lower in the mini-open group. CONCLUSION: In conclusion, similar results of both techniques were observed, and both carry risk of iatrogenic ulnar nerve injury. Medial pin placement is easier and less demanding when used with mini-open technique.
Açıklama
[dc.description]
WOS: 000378681000008
Açıklama
[dc.description]
PubMed: 27598607
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Fracture
Konu Başlıkları
[dc.subject]
humerus
Konu Başlıkları
[dc.subject]
pediatric
Konu Başlıkları
[dc.subject]
supracondylar fracture
Konu Başlıkları
[dc.subject]
ulnar nerve
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1306-696X
İlk Sayfa Sayısı
[dc.identifier.startpage]
350
Son Sayfa Sayısı
[dc.identifier.endpage]
354
Dergi Adı
[dc.relation.journal]
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
22
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5505/tjtes.2015.20268
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2922
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
22
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 06:42
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Tıklayınız
fluoroscopy medial mini-open injury inserted surgery results patients) months percutaneously observed differences groups placement iatrogenic evaluated supracondylar according fractures between showed RESULTS Sensorial significant statistically easier technique demanding evaluation significantly Medial similar during However CONCLUSION
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