DC pole | Wartość | Język |
dc.contributor.author | Tomaszewski, Ryszard | - |
dc.contributor.author | Pethe, Karol | - |
dc.contributor.author | Rutz, Erich | - |
dc.contributor.author | Mayr, Johannes | - |
dc.contributor.author | Dajka, Jerzy | - |
dc.date.accessioned | 2022-02-25T13:47:31Z | - |
dc.date.available | 2022-02-25T13:47:31Z | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | "Children" (2022), Vol. 9, iss. 3, art. no. 9030308 | pl_PL |
dc.identifier.issn | 2227-9067 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12128/22760 | - |
dc.description.abstract | Supracondylar humerus fractures (ScHF) account for 60% of fractures of the elbow region
in children. We assessed the relationship between neurovascular complications and the degree of
fracture displacement as rated on the basis of modified Gartland classification. Moreover, we aimed to
evaluate predisposing factors, e.g., age and gender, and outcomes of neurovascular complications in
ScHF. Between 2004 and 2019, we treated 329 patients with ScHF at the Department of Traumatology
and Orthopedics of the Upper Silesian Child Centre, Katowice, Poland. Mean age of patients
(189 boys and 140 girls) was 7.2 years (Confidence interval: 6.89, 7.45). Undisplaced fractures were
treated conservatively with a cast. Displaced fractures were managed by closed reduction and
percutaneous Kirschner wire fixation using two pins inserted laterally. We retrospectively assessed
the number of neurovascular lesions at baseline and recorded any iatrogenic injury resulting from
the surgical intervention. Acute neurovascular lesions occurred in 44 of 329 ScHF patients (13.4%).
The incidence of accompanying neurovascular injuries was positively associated with the severity of
fracture displacement characterized by Gartland score. Vascular injuries occurred mainly in Gartland
type IV ScHF, while nerve lesions occurred in both Gartland type III and IV ScHF. We noted a
significantly higher mean Gartland score and mean age at injury in the group of children suffering
from neurovascular injuries when compared to those in the group without such injuries (p = 0.045
and p = 0.04, respectively). We observed no secondary nerve lesions after surgical treatment. For
the treatment of ScHF in children, we recommend closed reduction and stabilization of displaced
fractures with K-wires inserted percutaneously from the lateral aspect of the upper arm. We advocate
vessel exploration in case of absent distal pulses after closed reduction but do not consider primary
nerve exploration necessary, unless a complete primary sensomotoric nerve lesion is present. | pl_PL |
dc.language.iso | en | pl_PL |
dc.rights | Uznanie autorstwa 3.0 Polska | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/pl/ | * |
dc.subject | supracondylar humerus fractures | pl_PL |
dc.subject | treatment | pl_PL |
dc.subject | children | pl_PL |
dc.subject | vascular injury | pl_PL |
dc.subject | neurologic injury | pl_PL |
dc.title | Supracondylar Fractures of the Humerus: Association of Neurovascular Lesions with Degree of Fracture Displacement in Children - A Retrospective Study | pl_PL |
dc.type | info:eu-repo/semantics/article | pl_PL |
dc.identifier.doi | 10.3390/children9030308 | - |
Pojawia się w kolekcji: | Artykuły (WNŚiT)
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