Ahmet Ozgur Yildirim, Vuslat Sema Unal, Ozdamar Fuad Oken, Murat Gulcek, Metin Ozsular, Ahmet Ucaner
{"title":"Timing of surgical treatment for type III supracondylar humerus fractures in pediatric patients.","authors":"Ahmet Ozgur Yildirim, Vuslat Sema Unal, Ozdamar Fuad Oken, Murat Gulcek, Metin Ozsular, Ahmet Ucaner","doi":"10.1007/s11832-009-0189-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Type III supracondylar humeral fracture is a common cause of emergency hospitalization among children requiring surgical treatment. The configuration of the internal fixation material, surgical technique, and optimal timing of surgery (TS) have always been popular topics of debate. The TS in uncomplicated cases is usually determined by surgeons.</p><p><strong>Methods: </strong>In this study, we prospectively followed children with type III supracondylar fractures. We aimed to clarify the effects of injury side, gender, and post-injury delay on switching to open surgery and the ease of the reduction.</p><p><strong>Results: </strong>Based on our results, the probability of switching to open surgery increased by a factor of 4 every 5 h beginning 15 h after injury. Open surgery was necessary after 32 h.</p><p><strong>Conclusion: </strong>Reduction became technically more difficult as TS increased.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"265-9"},"PeriodicalIF":0.0000,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11832-009-0189-2","citationCount":"48","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Children's Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11832-009-0189-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 48
Abstract
Background: Type III supracondylar humeral fracture is a common cause of emergency hospitalization among children requiring surgical treatment. The configuration of the internal fixation material, surgical technique, and optimal timing of surgery (TS) have always been popular topics of debate. The TS in uncomplicated cases is usually determined by surgeons.
Methods: In this study, we prospectively followed children with type III supracondylar fractures. We aimed to clarify the effects of injury side, gender, and post-injury delay on switching to open surgery and the ease of the reduction.
Results: Based on our results, the probability of switching to open surgery increased by a factor of 4 every 5 h beginning 15 h after injury. Open surgery was necessary after 32 h.
Conclusion: Reduction became technically more difficult as TS increased.
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