ARE PERCUTANEOUS PINNING THE BEST TREATMENT FOR GARTLAND TYPE III SUPRACONDYLAR HUMERAL FRACTURES IN CHILDREN?

ARE PERCUTANEOUS PINNING THE BEST TREATMENT FOR GARTLAND TYPE III SUPRACONDYLAR HUMERAL FRACTURES IN CHILDREN?

Authors

  • Alessio Pedrazzini Department of Orthopedic and Traumatology - Parma University
  • Michele Arcangelo Verdano Department of Orthopedic and Traumatology - Parma University
  • Francesca De Caro Department of Orthopedic and Traumatology - Parma University
  • Andrea Pellegrini Department of Orthopedic and Traumatology - Parma University
  • Francesco Ceccarelli Department of Orthopedic and Traumatology - Parma University

Keywords:

supracondylar humeral fracture, percutaneous pinning, children fracture

Abstract

Background. Supracondylar humeral fractures are the most frequent fractures of the elbow in children. Gartland type III fractures require a surgical treatment. The preferred management is closed reduction and percutaneous pinning with K-wires.

Methods. We have treated 15 patients (mean age 6,5 years) with Gartland type III fractures. In 14 patients the percutaneous reduction with K-wires was possible but in 1 case the open reduction was necessary due to the irreducibility of the fracture. In all cases a cycle of rehabilitation was performed.

Results. All patients have been evaluated using Flynn’s criteria with a mean follow-up of 24 months. All cases resulted excellent except the one that required open reduction, that resulted good.

Conclusions. Percutaneous pinning is at our days the gold standard of treatment but open reduction must always be considered mandatory when an anatomical closed reduction is not possible. Rehabilitation is also fundamental though the young age of the patients.

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Published

01-09-2013

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Section

ORIGINAL ARTICLES

How to Cite

1.
ARE PERCUTANEOUS PINNING THE BEST TREATMENT FOR GARTLAND TYPE III SUPRACONDYLAR HUMERAL FRACTURES IN CHILDREN?. Acta Biomed [Internet]. 2013 Sep. 1 [cited 2024 Jun. 23];84(2):110-6. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/2797