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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2021, Number 5

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Acta Ortop Mex 2021; 35 (5)

Treatment of supracondylar fractures of humerus in children with percutaneous internal fixation versus reduction without internal fixation

La-O LI, Bazán-Quintana M, Rodríguez-Reyes O, Cedeño-Gomes L
Full text How to cite this article 10.35366/104564

DOI

DOI: 10.35366/104564
URL: https://dx.doi.org/10.35366/104564

Language: Spanish
References: 6
Page: 394-398
PDF size: 192.30 Kb.


Key words:

Supracondylar fractures of humerus, children, results, fixation.

ABSTRACT

Introduction: Supracondylar fractures of humerus are the second most frequent type of fractures in children. Objective: To describe the results of the treatment, the patients according to age, sex, complications, and final results. Material and methods: A retrospective descriptive study was conducted in patients with supracondylar fractures of humerus during the years 2018-2019. Absolute frequencies and percentages were calculated. Results: Fractures were more frequent in males (69.6%) and in the age group of six to 10 years for both sexes. 60.8% of the fractures were treated with reduction plus internal fixation with Kirschner needles, in the group with internal fixation type IV predominates and in the group that does not need internal fixation predominate type I, the most frequent complication was the loss of reduction in the group that was not fixed with needles. Better results were obtained when the reduction was performed combined with internal fixation (91.2%). Conclusions: Fractures predominated in the male sex and in the age group of six to 10 years, the reduction was more frequent more internal fixation with Kirschner needles, in the group with internal fixation predominates type IV, predominated the loss of reduction in the group that was not fixed with needles. Better results were obtained when reduction was performed combined with internal fixation.


REFERENCES

  1. Peña Cardona CJ, Medina Madrid LM, Trujillo González CI, Peña López AJ, González González V. Actualización en fracturas supracondíleas del codo en la infancia. Med UPB. 2020; 39(1): 57-70. doi: 10.18566/medupb.v39n1.a09.

  2. Barrón-Torres EA, Sánchez-Cruz JF, Cruz-Meléndeza JF. Perfil clínico-epidemiológico de las fracturas supracondíleas de húmero en pacientes pediátricos en un hospital general regional. Cirugía y Cirujanos. 2015; 83(1): 29-34. Disponible en: https://doi.org/10.1016/j.circir.2015.04.020

  3. Corres-Franco IA, Torres-Gómez A. Clasificación de las fracturas supracondíleas en niños: Gartland, AO y Holmberg. ¿Cuál tiene el mayor acuerdo interobservador?Acta Ortop Mex. 2015; 29(6): 299-302. Disponible en: http://www.scielo.org.mx/pdf/aom/v29n6/2306-4102-aom-29-06-00299.pdf

  4. Piñeiro JA. Tratamiento de las fracturas supracondíleas en el Hospital de Niños de Corrientes. Rev Asoc Arg Ortop y Traumatol. 1996. 61(3); 322-328. Disponible en: http://www.aaot.org.ar/revista/1993_2002/1996/1996_3/610307.pdf

  5. Juan García EL, Martínez Martin J, Domingo Cebollada J, Cuenca Espierrez A, Sola Cordon A, Herrera rodríguez A. Tratamiento quirúrgico de las fracturas supracondíleas de húmero en la infancia. Rev Esp Cir Osteoart. 2011; 36(205). Disponible en: https://www.researchgate.net/publication/288940969

  6. Luve Jaliri Y. Incidencia de fracturas supracondíleas de húmero y complicaciones en pacientes pediátricos en el Hospital Manuel Nuñez Butrón de Puno Enero-Diciembre 2018 [Especialidad en Ortopedia y Traumatologia]. Universidad Nacional del Altiplano Facultad de Medicina Humana; 2018.



EVIDENCE LEVEL

IV series de casos




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2021 Sep-Oct;35