Supracondylar fractures of the humerus in extension in children

Supra-condylar fractures of the humerus in extension in children account for over 18% of all pediatric fractures, and 60% of all elbow fractures. The management of these fractures is controversial, with two distinct techniques: closed reduction followed by percutaneous parallel or crossed pinning, and surgical reduction. Our aim is to study the functional results of these techniques.Materials and methods: This is a prospective descriptive study of 150 children operated on and followed up in our department over a 3-year period.Results: The mean age of the patients was 6.51+/- 2.74 years. There was a clear male predominance. The left side and type IV were the most dominant.44 patients underwent open-focus surgery,106 closed-focus surgery, 78% of whom underwent cross-bracketing.5.3% presented with post-operative secondary displacement.34.7% of cases presented with post-operative paresthesia. Results are reported according to Flynn's criteria, with a mean follow-up of 26 months. Our results with percutaneous cruciate pinning were excellent in 85.3% of cases, with a 98% satisfaction rate.

Autorentext

Cirurgião pediátrico, professor e investigador na Universidade de Ciências da Saúde, Faculdade de Medicina de Argel. Chefe de unidade do serviço de cirurgia pediátrica do hospital Benimessous, doutor em ciências médicas e membro fundador da Sociedade Argelina de Cirurgia Pediátrica e da Sociedade Argelina de Epidemiologia e Bioestatística.