The Effect of Surgical Timing on the Outcomes of Pediatric Gartland Type III Supracondylar Humeral Fractures
Journal Title: European Archives of Medical Research - Year 2020, Vol 36, Issue 3
Abstract
Objective: In this study,we aimed to evaluate the effect of surgical treatment timing of Gartland extension type III humeral fractures on functional and cosmetic outcomes, in the pediatric age group and to compare them with literature. Methods: Between November 2015 and October 2018, files of patients who were admitted to the emergency orthopedics department with Gartlantd extension type III supracondylar humeral fractures and who underwent surgery were investigated. Fifty cases under the age of 15 years were included in the study. These patients were divided into two groups (early and late groups) by examining time before surgery. At outpatient follow up, functional and cosmetic results were evaluated using Flynn criteria at the 12th postoperative week. Results: Fifty patients (58% males and 42% females) with an average age of 79.7 months (range=15-164 months) were included in the study. All of the patients had closed fractures. Surgical open reduction rate was 30% (n=15), with 20% (n=5) in the early group and 40% (n=10) in the late group. Patients were evaluated according to Flynn criteria at the 12th week of outpatient follow up. In the early group, 92% (n=23) and 8% (n=2) of patients had excellent and good cosmetic results, respectively; 64% (n=16), 28% (n=7), 4% (n=1), and 4% (n=1) had excellent, good, moderate, and poor functional results, respectively. When the outpatient clinic records of the late group patients were examined, 88% (n=22) and 12% (n=3) had excellent and good cosmetic results, respctively, and 52% (n=13), 24% (n=3), 16% (n=4), and 8% (n=2) had excellent, good, moderate, and poor functional results, respectively. No significant difference was found between the two groups in terms of cosmetic and functional results (p=0.641 and p=0.260, respectively). However, it was observed that patients operated with a closed method had better functional outcome than those treated by open surgery (p<0.001). Conclusion: There was no significant difference between the early and late groups in terms of cosmetic and functional durations of the cases. However, we identified that early surgical treatment reduces operative time, C-arm fluoroscopy usage, hospitalization, and open surgery ratio. We propose that Gartland type III supracondylar humeral fractures should be treated with closed surgical methods within the first 12 hours considering the negative effect of open reduction on functional outcomes.
Authors and Affiliations
Cem Dinçay Büyükkurt, Mustafa Yerli, Süleyman Semih Dedeoğlu, Yunus İmren, Mustafa Çağlar Kır, Ali Çağrı Tekin
Keywords
Related Articles
- EP ID EP688687
- DOI 10.4274/eamr.galenos.2020.96720
- Views 144
- Downloads 0
Intraductal Papilloma of Buccal Mucosa Minor Salivary Gland Origin
Ductal papillomas are rarely seen in salivary glands. They are largely classified under the term “ductal papillomas” and generally further categorized as intraductal papilloma, sialadenoma papilliferum, and inverted duct...
Factors Associated with Postoperative Chronic Pain and Recurrence After Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
Objective: To assess the risk factors for chronic pain and recurrence after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. Methods: Data of the patients who underwent laparoscopic TEP repair were analy...
Short-term Efficacy of Dienogest in Improving Pain in Patients with Endometriosis: A Single-center Experience
Objective: Endometriosis is a common disease that affects 5%-15% of women of reproductive age. This study aimed to evaluate the effect of dienogest (DNG) on improving pain scores of patients with endometriosis. Methods:...
Evaluation of Echocardiographic Findings of Mucopolysaccharidosis Cases
Objective: Mucopolysaccharidosis (MPS) is a lysosomal storage disease in which the degradation of glycosaminoglycans is impaired. Cardiac involvement may occur in different ways in all types of the disease. In this study...
Follicle-stimulating Hormone Induced In Vitro Growth of Small Antral Follicles are not Affected by Gonadotropin-releasing Hormone Agonist or Antagonist Treatment in Mice
Objective: In this study, we aimed to investigate if the gonadotropin-releasing hormone (GnRH) agonist and antagonist have any effect on the follicle-stimulating hormone (FSH)-induced-growth of early antral follicles of...