Surgical Treatments of Supracondylar Fractures in Children: Healing and Functional Outcomes
Abstract
Objective: Assessment of outcomes of surgical techniques used in Tishreen University Hospital in order to find out which technique allows for better healing time and functional outcomes and low complication occurrences.
Patients and methods: A prospective study included 58 children between 2-12 years old who were divided into 2 groups (treated with transcutaneous pinning or with surgical reduction). Bone healing and functional outcomes according to Flynn’s citeria were studied for 6 months. The study was carried out between June 2021-June 2022.
Results: The outcomes of treatment of supracondylar fractures in children aged between 2-12 are directly linked to the classification of the fracture according to Gartland’s. Closed reduction and transcutaneous pinning can be used to treat 2nd degree supracondylar fractures in children according to Gartland’s. Open surgical reduction with pinning represents the optimal treatment in the cases of closed reduction failure especially in 3rd degree fractures according to Gartland’s since this method allows for good fracture fixation but neural complications have a high rate in this technique.
Conclusions: The study recommends using the method of exposing the fracture area with lateral and medial access since this method provides good fracture exposure and allows for good reduction after managing all types of displacement which provides optimal conditions for healing and the return of elbow function in a short period of time. The study also recommends early physiotherapy which has an important role in achieving the best functional outcomes in children with supracondylar fractures.
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