BACKGROUND The management of the pulseless perfused hand in association with a supracondylar humerus fracture following operative stabilisation remains controversial. Previous authors have suggested the use of color-flow duplex monitoring, magnetic resonance angiography and segmental pressure monitoring as objective steps to ascertain blood flow following adequate internal fixation. We examine ...

BACKGROUND Fracture location is an important consideration in managing supracondylar periprosthetic femur fractures. The outcomes of locked plating and intramedullary (IM) nail fixation were therefore compared based on fracture location, being above or at/below the total knee arthroplasty (TKA) flange. METHODS Fifty-seven patients were identified from surgical records as being treated for sup...

INTRODUCTION Supracondylar fractures of the humeral bone are frequent injuries in children. It has been affirmed that supracondylar fractures have an excellent prognosis when proper treatment is applied. OBJECTIVE Present of the statistical relationships between fractures occurring and patient's development period; the relation between development period and site of the fracture and statistic...

PURPOSE Outcomes are excellent following surgical management of displaced supracondylar humerus fractures. Short delays until surgical fixation have been shown to be equivalent to immediate fixation with regards to complications. We hypothesized that insurance coverage may impact access to care and the patient's ability to return to the operating room for outpatient surgery. METHODS A retrosp...

INTRODUCTION Supracondylar fractures of the humerus occur commonly in the paediatric age group. Gartland type III fractures are treated by closed manipulation and percutaneous pinning with K-wires. Open reduction is indicated in open fractures, failed closed reductions and in a dysvascular limb. There are various approaches that can be utilized to perform an open reduction. The approach of choi...

The distal end of the femur traditionally encompasses the lower third of this bone. This zone varies greatly in the literature, from the distal 7.6 cm to the distal 15 cm of the femur. This chapter deals only with fractures that involve the supracondylar (metaphyseal) or intercondylar (epiphyseal) areas of the distal end of the femur. Distal femoral fractures that are purely diaphyseal are disc...

A tablet-based fluoroscopy simulator offers the opportunity to practice percutaneous pinning of supracondylar fractures. Acquiring skills in visuo-spatial and hand-eye coordination are central development safe surgical technique. Mobility ease setup without need for real enables repetition procedure at a time suit residents' schedule.

Introduction: Simultaneous ipsilateral fracture of the elbow and forearm (floating elbow) is an uncommon injury and treatment recommendations are controversial. The aim of our study was to evaluate the incidence of ipsilateral fractures of the upper limb and to present our experience in dealing with such injuries and to review the literature relating to this topic. The following variables were ...