Supracondylar humerus fractures in children: a comparison of experiences

Ezio Pescatori, Antonio Memeo, Angela Brivio, Alessia Trapletti, Sara Camurri, Leopoldo Pedretti, Walter Albisetti
Journal of Pediatric Orthopedics. Part B 2012, 21 (6): 505-13
The most common elbow lesions found in pediatric practice are supracondylar fractures. We compared two groups of 34 patients each with a supracondylar humerus fracture grade III (Gartland classification). The first group was treated with percutaneous pinning with Kirschner wires, with patients in a supine position, sometimes preceded by transkeletal traction. The second group was treated with percutaneous pinning with Kirschner wires, with patients in a prone position, within 6 h of the trauma. No statistically significant differences with regard to clinical outcomes and neurovascular complications were revealed in the comparison. Therefore, we can state that both treatment techniques used are valid.

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