Journal of Musculoskeletal Trauma

Original Articles

Treatment of Completely Displaced Supracondylar Fracture of Humerus in Children: Bu Hwan Kim, Mu Jung Heo, Won Jun Hwang; J Korean Soc Fract 2003;16(4):585-591. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.585

PURPOSE
We performed a retrospective study of completely displaced supracondylar fracture of humerus in children to evaluate the result of primary open reduction and internal fixation for this injuries, and also to know whether it is recommendable or not for such injuries.
MATERIALS AND METHODS
For 5 years duration from March '96 to Feb. '01, we treated 58 cases of completely displaced supracondylar fractures of humerus in children. Among them we performed primary open reduction and internal fixation of this fracture in 14 cases. We followed up those cases more than 18 months and evaluated the results by Flynn et al. and Mark et al. criteria.
RESULTS
Eleven of them resulted in excellent grading by both Flynn and Mark criteria. Three cases not involved in excellent grading proved to be good result by Mark criteria. But by Flynn criteria, 2 cases showed good results and the other one proved to be fair. In all cases, the patient and parents were satisfied cosmetically and functionally. Only in one case, the recorded grading was different, fair by Flynn and good by Mark criteria.
CONCLUSION
Primary open reduction and internal fixation in the treatment of completely displaced and not easily reduced supracondylar fracture of humerus in children resulted excellent and good results with few complications, and patients were satisfied with the results functionally and cosmetically. So we recommend proceeding to primary open treatment and internal fixation for these difficult fractures with low threshold to open reduction.

Citations

Citations to this article as recorded by

Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique
H.-Y. Lee, S.-J. Kim
The Journal of Bone and Joint Surgery. British volume.2007; 89-B(5): 646. CrossRef

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Primary Open Reduction of the Clavicular Shaft Fractures in Adults: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim; J Korean Soc Fract 1994;7(1):87-94. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.87

Abstract PDF: The clavicle plays very important role in the motion of the shoulder girdle and maintenance of power and stability of the arm. The most clavicular shaft fractures can be treated by conservative methcds with a high rate of union and low rate of complications. The operative treatment in clavicular fracture is limited in such as wide separation of the fragments with soft tissue interposition, nonunion, or neurovascular involvements. From 1989 to 1991, eighty six consecutive patients with clavicular shaft fractures were treated at Ewha Womans University Hospital. Fifty eight patients were treated conservatively(Group I) and twenty eight patients operatively(Group II) Authors compared both groups and obtained the following results; 1. The most common cause of injuries was the traffic accident and the most common associated skeletal injury around the shoulder was the rib fracture. 2. The degree of comminution and displacement of the clavicular shaft fracture were more severe in Group II. 3. The average time to union was 8.7 weeks in Group I and 10.3 weeks in Group II. 4. The average rate of union at 4 months was 93.1% in Group I and 96.4% in Group II 5. The functional result was good or excellent in over 90% in both Groups according to the Kangs criteria. 6. The rate of complication was 8.0% in Group I (one nonunion, three delayed unions and one malunlon) and 3.6% in Group II(only one case of nonunion) 7. The immobilization period was between 6 to 8 weeks In Group I and within 4 weeks in Group II in most cases.

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