ABSTRACT Introduction: In areas where intraoperative radiography facilities are not available, open reduction is an acceptable treatment option for fracture treatment. The aim of this investigation was to compare the outcomes of closed reduction to open reduction with cross-pinning fixation in Gartland Type III supracondylar humeral fracture extensions. Methods: In this retrospective study, clo...

PURPOSE To evaluate outcome following supracondylar nailing for distal femur fractures. METHODS The clinical and radiological outcome for 13 patients treated between January 1995 and December 1998 at the University Malaya Medical Center was assessed. Patients were seen for follow-up for a mean duration of 20.2 months. RESULTS There were no cases of non-union or infection. Overall assessment...

BACKGROUND Supracondylar humerus fractures are common injuries in the pediatric population. The most severe, type III injuries, have seen the most debate on treatment regimens. Traditionally, these fractures were treated as surgical emergencies, most often fixed with percutaneous pinning in a cross-pin configuration. The recent literature shows that delayed fixation is comparable to emergent fi...

BACKGROUND Periprosthetic supracondylar fractures of the femur after total knee arthroplasty are not common but are usually difficult to treat due to the advanced age of patients and frequently accompanying osteoporosis. Retrograde intramedullary nailing can be effective in promoting healing of these fractures by providing sufficient stability, but the number of beneficiaries is small due to it...

Fishtail deformity is a very rare complication of undisplaced supracondylar fractures of the humerus in children. We report the case of a 10-year old girl presenting with pain in the right elbow eight years after a non-displaced supracondylar fracture of the humerus. Radiographs also demonstrated necrosis of the lateral part of the trochlea and of the head of the radius. With this long-term cli...

Supracondylar humerus fractures are common in children. Displaced fractures are usually treated with closed reduction and cross pin fixation. But, medial pinning may cause the ulnar nerve injury. The aim of this study was to compare the parents-based cosmetic satisfaction of the incision scars in children with displaced supracondylar humerus fractures treated by closed reduction and cross pin f...

BACKGROUND AND PURPOSE Ulnar nerve injury may occur after pinning of supracondylar fractures in children. We describe the outcome and compare the rates of iatrogenic injuries to the ulnar nerve in a consecutive series of displaced supracondylar humeral fractures in children treated with either crossed pinning or antegrade nailing. METHODS Medical charts of all children sustaining this fractur...

BACKGROUND Arterial damage is sometimes associated with supracondylar fractures of the humerus. Diagnosis and careful management of the fracture and arterial repair is crucial. OBJECTIVES The aim of this study was to determine the prevalence and outcome of supracondylar fractures of the humerus with signs and symptoms of limb ischemia, before and after arterial decompression or arterial recon...

Background. Supracondylar fractures are the commonest elbow injury in children. Most displaced supracondylar fractures are manipulated and held with a medial/lateral entry or two lateral Kirschner wires. This clinical study has results purely from a three lateral divergent wire technique. Methods. Displaced supracondylar fractures were manipulated closed and three lateral divergent wires insert...

We performed a systematic review of early versus delayed treatment for type III Gartland supracondylar humeral fractures in children. We identified five non-randomised retrospective studies that fulfilled our criteria. We performed the analysis on 396 patients who sustained a type III supracondylar humeral fracture of which 243 (61.4%) belonged to the early treatment group and 153 (38.6%) belon...