Supracondylar fractures of the femur after total knee arthroplasty are an uncommon but highly challenging injury (Streubel et al., 2010). The management of distal femoral fractures following a total knee replacement can be complex and requires the equipment, perioperative support and surgical skills of both trauma and revision arthroplasty services (Johnston et al., 2011, Nauth et al., 2011). T...

Elbow joint stiffness is a common complication following supracondylar humerus fractures. In prospective study, dynamics of establishing a full range of motion in the elbow joint following the treatment of supracondylar humerus fractures were assessed, together with the effects of physical therapy on improvement in the range of motion. Two groups of patients were observed. Physical therapy was ...

BACKGROUND Percutaneous Kirschner wire fixation represents the classic treatment for displaced supracondylar humeral fractures in childhood. This type of treatment first requires satisfactory reduction of the fracture. Failure to achieve a satisfactory reduction or inadequate stabilization can result in instability of the fracture fragments, which can result in either an unsatisfactory cosmetic...

The purpose of this paper is to analyse the causes of permanent disability after supracondylar fractures of the humerus in children. By so doing I hope to show what degree of residual displacement can be accepted without detriment to the patient, and that which must be corrected to obtain an elbow of normal appearance and a full range of movement. A survey of the literature reveals many conflic...

Background: Pediatric supracondylar humerus fractures are the most common elbow fractures in children. Operative management includes closed reduction and placement of 2 to 3 laterally based pins. Occasionally, a medial pin is used to create a crossed fixation pattern, despite risk of nearly 10% iatrogenic ulnar nerve injury. The objective of this study was to assess the trends and outcomes in t...

PURPOSE To report the results of surgical management for late-presenting displaced supracondylar fractures of the humerus in children. METHODS Between February 2002 and June 2003, 40 children (mean age, 7 years) with late presentation (range, 2-12 days) of displaced supracondylar humeral fractures were prospectively recruited. Gentle closed manipulation under image intensification was attempt...

OBJECTIVE To compare iatrogenic ulnar nerve injury in lateral entry pin fixation versus medial and lateral entry pin fixation in the treatment of supracondylar fractures of the humerus in children. Measurement of clinical parameters in terms of elbow range of motion and postop radiographic alignment was also targeted. METHODS The retrospective cohort study was conducted at Aga Khan University...

Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients ...

Retrograde locked intramedullary nailing has gradually been widely used to treat femoral supracondylar fractures. Because a standard femoral supracondylar nail has unique disadvantages: high price and potentially inducing a femoral shaft stress fracture, it is often replaced by a traditional femoral or tibial locked nail. A biomechanical comparison was therefore made between both traditional lo...