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- Title
Érsérüléssel szövődött supracondylaris humerus törések kezelése gyermekkorban.
- Authors
ORSOLYA, ILONKA; PÉTER, VAJDA; ENDRE, ARATÓ; LÁSZLÓ, BENKŐ; GERGŐ, JÓZSA
- Abstract
Supracondylaer humeral (SCH) fractures represent the 60% of elbow fractures in children. The extension type fractures account for 95-98% of all SCH fractures. From which the majority are Baumann III type fractures. Twenty percent of Baumann III type SCH fractures associate with vessel injury. Between 2013 and 2018, 46 children were treated with Baumann III type supracondylaer humeral fracture at the Department of Pediatric of University of Pécs. The sex of the patients and seasonal distribution of the fractures, causes of fractures7 development, the adequate treatment of the emerged vessel injuries, and its success were analysed. The distribution of sex was 50-50%. Fractures were occurred more frequently during the warm and dry seasons. The most common cause of SCH humeral fracture was a fell from a considerable height. Out of 46 children, 35 were diagnosed with palpable radial pulse before the surgery, and 11 children were diagnosed with a different quality of radial pulse. After the closed reduction the radial pulse of 34 children recurred. The remaining 12/46 patients underwent an open reduction after the closed fracture reduction. In 4 cases, the angulation of the artery was found, 3 children were diagnosed with vessel compression. The circulation in 2 children's hand was obstructed by thrombosis, intima lesion was detected in one patient, and one child was diagnosed with arterial spasm and another with complete arterial rupture. In case of palpable pulse, closed reduction is suggested. In case of an absent radial pulse, but present collateral flow, the closed reduction could be done moderately. Based on our retrospective study, when the radial pulse is instable, an open reduction has to be performed. In accordance with these cases, a primary open reduction seems to be worth considering. In case of a white, cool, pulseless hand or worsening hand circulation after closed reduction, open reduction is always suggested. During the open reduction, treatment of the artery depends on the type of vessel injury.
- Publication
Magyar Traumatológia, Ortopédia, Kézsebészet, Plasztikai Sebészet, 2020, Vol 63, Issue 1-4, p11
- ISSN
1217-3231
- Publication type
Article
- DOI
10.21755/mto.2020.063.0104.002