Surgical Results of Pediatric Supracondylar Humerus Fractures and Reliability of Medial K-Wire

Hüseyin Fatih Sevinç; Serhat Durusoy; Veli Çağlar Öz; Recep Doğan İlhan; Ömer Pıçakçı; Abdurrahman Örtücü; Ramazan İlter Öztürk

Makale detayları

Surgical Results of Pediatric Supracondylar Humerus Fractures and Reliability of Medial K-Wire

Yazarlar:

Hüseyin Fatih Sevinç | Serhat Durusoy | Veli Çağlar Öz | Recep Doğan İlhan | Ömer Pıçakçı | Abdurrahman Örtücü | Ramazan İlter Öztürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.170-175

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297763

pISSN:

2148-9645

Anahtar kelimeler:

Özet:

 Objective: Discussions about open or closed reduction methods and wire configurations of internal fixation used in surgical treatment continue in the literature. This study aimed to retrospectively evaluate the clinical results of different wire configurations after closed reduction in the treatment of supracondylar humerus fractures and the complications of internal fixation with Kirschner wires K-wires from medial elbow. Material and Methods: In the study, 115 patients who were surgically treated for supracondylar humerus fracture were analyzed retrospectively. Surgical treatment results were investigated according to the evaluation criteria proposed by Flynn et al., taking into consideration functional and cosmetic factors. Results: Ulnar neuropraxia occurred only in 3 3.5 of the patients who were sent K-wire from the medial, and these completely recovered in the 4th and 5th months after the K-wires were removed with no permanent nerve damage. Although there was a statistically significant difference between the cosmetic results of patients who received only lateral K-wire and those fixed with cross K-wire in favor of the lateral group p0.007, there was no statistically significant difference between the functional results p0.070. Conclusion: In the surgical treatment of type III fractures, although the fact that there is no significant difference between the functional results of fixation with lateral only and cross K-wire suggests that both methods can be used, we recommend closed medial sending of wire in patients where sufficient fixation is not achieved after lateral wires are sent in the intraoperative fracture line.

 Objective: Discussions about open or closed reduction methods and wire configurations of internal fixation used in surgical treatment continue in the literature. This study aimed to retrospectively evaluate the clinical results of different wire configurations after closed reduction in the treatment of supracondylar humerus fractures and the complications of internal fixation with Kirschner wires K-wires from medial elbow. Material and Methods: In the study, 115 patients who were surgically treated for supracondylar humerus fracture were analyzed retrospectively. Surgical treatment results were investigated according to the evaluation criteria proposed by Flynn et al., taking into consideration functional and cosmetic factors. Results: Ulnar neuropraxia occurred only in 3 3.5 of the patients who were sent K-wire from the medial, and these completely recovered in the 4th and 5th months after the K-wires were removed with no permanent nerve damage. Although there was a statistically significant difference between the cosmetic results of patients who received only lateral K-wire and those fixed with cross K-wire in favor of the lateral group p0.007, there was no statistically significant difference between the functional results p0.070. Conclusion: In the surgical treatment of type III fractures, although the fact that there is no significant difference between the functional results of fixation with lateral only and cross K-wire suggests that both methods can be used, we recommend closed medial sending of wire in patients where sufficient fixation is not achieved after lateral wires are sent in the intraoperative fracture line.

 Objective: Discussions about open or closed reduction methods and wire configurations of internal fixation used in surgical treatment continue in the literature. This study aimed to retrospectively evaluate the clinical results of different wire configurations after closed reduction in the treatment of supracondylar humerus fractures and the complications of internal fixation with Kirschner wires K-wires from medial elbow. Material and Methods: In the study, 115 patients who were surgically treated for supracondylar humerus fracture were analyzed retrospectively. Surgical treatment results were investigated according to the evaluation criteria proposed by Flynn et al., taking into consideration functional and cosmetic factors. Results: Ulnar neuropraxia occurred only in 3 3.5 of the patients who were sent K-wire from the medial, and these completely recovered in the 4th and 5th months after the K-wires were removed with no permanent nerve damage. Although there was a statistically significant difference between the cosmetic results of patients who received only lateral K-wire and those fixed with cross K-wire in favor of the lateral group p0.007, there was no statistically significant difference between the functional results p0.070. Conclusion: In the surgical treatment of type III fractures, although the fact that there is no significant difference between the functional results of fixation with lateral only and cross K-wire suggests that both methods can be used, we recommend closed medial sending of wire in patients where sufficient fixation is not achieved after lateral wires are sent in the intraoperative fracture line.

 Amaç: Literatürde cerrahi tedavide kullanılan açık ya da kapalı redüksiyon yöntemleri ve internal tespitin tel konfigürasyonlarıyla ilgili tartışmalar devam etmektedir. Bu çalışmada suprakondiler humerus kırıklarının tedavisinde kapalı redüksiyon sonrası farklı tel konfigürasyonlarının klinik sonuçlarının ve dirsek medialinden kapalı olarak Kircher teli K-teli ile tespitin komplikasyonlarının retrospektif olarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmada suprakondiler humerus kırığı nedeniyle cerrahi olarak tedavi edilen 115 hasta retrospektif olarak değerlendirildi. Cerrahi tedavi sonuçları Flynn ve ark. önerdiği değerlendirme kriterlerine göre fonksiyonel ve kozmetik etkenler ele alınarak değerlendirildi. Bulgular: Medialden K-teli gönderilen hastaların sadece 3ünde 3.5 ulnar sinir nöropraksisi oluşmuştur, K tellerinin çekilmesinin ardından 4. ve 5. aylarda tamamen düzelmiştir ve kalıcı sinir hasarı kalmamıştır. Sadece lateralden K-teli gönderilenler ile çapraz K-teli ile tespit edilen hastaların kozmetik sonuçları arasında lateral grup lehine istatistiksel olarak anlamlı bir fark p0.007 saptanmasına rağmen fonksiyonel sonuçları arasında anlamlı bir fark saptanmadı p0.070. Sonuç: Tip 3 kırıkların cerrahi tedavisinde sadece lateral ve çapraz tel ile tespitin fonksiyonel sonuçları arasında anlamlı fark olmaması her iki yöntemin kullanılabileceğini göstermekle birlikte intraoperatif kırık hattında lateral tellerin gönderilmesinin ardından yeterli tespitin sağlanamadığı hastalarda kapalı olarak medialden de tel gönderilmesini önermekteyiz.

Makale detayları

Surgical Results of Pediatric Supracondylar Humerus Fractures and Reliability of Medial K-Wire

Yazarlar:

Hüseyin Fatih Sevinç | Serhat Durusoy | Veli Çağlar Öz | Recep Doğan İlhan | Ömer Pıçakçı | Abdurrahman Örtücü | Ramazan İlter Öztürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.170-175

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297763

pISSN:

2148-9645

Supracondylar humerus fractures

pediatric

medial wire

iatrogenic nerve injuriesHumerus suprakondiler kırıkları

pediatrik

medial telleme

iatrojenik sinir hasarı

Sayı

Makale detayları

Yazarlar: Hüseyin Fatih Sevinç | Serhat Durusoy | Veli Çağlar Öz | Recep Doğan İlhan | Ömer Pıçakçı | Abdurrahman Örtücü | Ramazan İlter Öztürk

Yayıncı: Kirikkale University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.170-175

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001297763

pISSN: 2148-9645

Sayı

Yazarlar:

Hüseyin Fatih Sevinç | Serhat Durusoy | Veli Çağlar Öz | Recep Doğan İlhan | Ömer Pıçakçı | Abdurrahman Örtücü | Ramazan İlter Öztürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.170-175

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297763

pISSN:

2148-9645