Lateral external fixation: a new surgical technique for displaced unreducible supracondylar humeral fractures in children

Slongo, T; Schmid, T; Wilkins, K; Joeris, A (2008). Lateral external fixation: a new surgical technique for displaced unreducible supracondylar humeral fractures in children. Journal of bone and joint surgery - American volume, 90(8), pp. 1690-7. Needham, Mass.: Journal of Bone & Joint Surgery Inc. 10.2106/JBJS.G.00528

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BACKGROUND: Percutaneous Kirschner wire fixation represents the classic treatment for displaced supracondylar humeral fractures in childhood. This type of treatment first requires satisfactory reduction of the fracture. Failure to achieve a satisfactory reduction or inadequate stabilization can result in instability of the fracture fragments, which can result in either an unsatisfactory cosmetic or functional outcome. In our experience, these problems can be overcome with the use of a small lateral external fixator. METHODS: Between 1999 and 2005, thirty-one of 170 Gartland type-III supracondylar humeral fractures were treated with a lateral external fixator. The outcome of treatment was analyzed with regard to limb alignment, elbow movement, cosmetic appearance, and patient satisfaction. RESULTS: In twenty-eight of the thirty-one patients, a satisfactory reduction was achieved with closed methods. All children except one had a normal or good range of movement. The cosmetic result was excellent in all cases. All of the children and their parents stated that they would choose this treatment again. CONCLUSIONS: The use of a small lateral external fixator seems to be a safe alternative for the treatment of displaced supracondylar fractures of the humerus when a closed reduction appears to be unattainable by means of manipulation alone or when sufficient stability is not achieved with standard methods of Kirschner wire fixation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Slongo, Theddy; Schmid, Timo Georg Johannes and Joeris, Alexander

ISSN:

0021-9355

ISBN:

18676899

Publisher:

Journal of Bone & Joint Surgery Inc.

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:03

Last Modified:

04 May 2014 23:19

Publisher DOI:

10.2106/JBJS.G.00528

PubMed ID:

18676899

Web of Science ID:

000258292100010

URI:

https://boris.unibe.ch/id/eprint/27498 (FactScience: 107918)

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