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- Talk
- 22/09/2021
- UK
Supracondylar Fractures of the Humerus in Children: A Five-Year Retrospective Cohort Study in a Non-Paediatric Major Trauma Centre Providing Dedicated Children’s Orthopaedic Services
Description
This document is a presentation transcribed from a video titled "Supracondylar Fractures of the Humerus in Children: A Five-Year Retrospective Study". The presentation is delivered by Daniel Hill, an ST7 registrar in the Peninsula Deanery, discussing data from a study conducted at Darryl Ford Hospital, a major trauma center with specialist children's orthopedic services. Hill outlines the aims of the study, which focused on operatively managed cases of children with supracondylar humerus fractures over a five-year period.
Key findings include a total of 128 cases identified, with a breakdown of the severity of the fractures (50% being Gartland type II and 50% type III). There's mention of how about 25% of these cases were managed within 24 hours of X-ray diagnosis, with emergency interventions required in 21 instances, including cases of nerve palsies and absent pulses. The results highlighted that a significant number of these cases were managed by surgeons who performed fewer than one pediatric case per year, posing questions regarding the adequacy of the surgical expertise and implications for children's surgical services centralization under the GIRFT (Getting It Right First Time) initiative.
The presentation concludes with discussions on training and surgery requirements, highlighting concerns for future children's trauma services and whether such procedures should exclusively involve pediatric specialists.