Torres-Castro C, Salcedo-Dueñas JA, Estrada-Gómez A, Bello-González A

Language: Spanish
References: 7
Page: 171-1741
PDF size: 712.74 Kb.

ABSTRACT

We present the case of a child with a Gartland III humeral supracondylar fracture treated with a lateral external fixator and 1.6 mm Kirschner nails. The edema and postoperative pain subsided and the patient had early mobility, thus avoiding the use of cast immobilization. The patient was discharged with elbow mobility and no complications. Follow-up was conducted at weeks 1, 3, 6, 8, 12 and 16 with favorable results. The outcome was early mobility and the resulting shorter rehabilitation period, as well as better management of the skin and soft tissues, decreased muscle hypotrophy and appropriate healing.

REFERENCES

1. Canale ST: Campbell Cirugía ortopédica. 10th ed. Elsevier España, Madrid, 2004: 1597-690.

2. American Academy of Orthopaedic Surgery, Actualizaciones en Cirugía Ortopédica y Traumatología, Columna 2, 2003; 17-25, 269 – 87. ISBN 84-95670-30-5.

3. Slongo T, Audige L, Schlickewei W: International Association for Pediatric Traumatology. Development and validation of the AO pediatric comprehensive classification of long bone fractures by the Pediatric Expert Group of the AO Foundation in collaboration with AO Clinical Investigation and Documentation and the International Association for Pediatric Traumatology. J Ped Ort 2006; 26: 43-9.

4. Slongo T, Jakob RP: The small AO external fixator in paediatric orthopaedics and trauma. Injury 1994; 25: S-D77-84.

5. Slongo TF, Audige L: AO Pediatric Classification Group. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification of long bone fractures. J Ort Trauma 200; 7(21): S135-60.

6. Slongo T, Schmid T, Wilkins K, Joeris A: Lateral external fixation. A new surgical technique for displaced unreducible supracondylar humeral fractures in children. J Bone Joint Surg Am 2008; 90(8): 1690-7.

7. Kraus R, Joeris A, Castellani C, Weinberg A: Intraoperative radiation exposure in displaced supracondylar humeral fractures: a comparison of surgical methods. J Ped Ort 2007; 16: 44-7.