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- Talk
- 15/09/2021
- Canada
Supracondylar Humerus Fractures in Older Children: Success of Closed Reduction and Percutaneous Pinning
Description
The presentation is focused on the analysis of supracondylar humerus fractures in the pediatric population, which are the most common elbow injuries requiring surgical intervention in children. The speaker, Senol Bekmez, discusses the retrospective study aiming to identify changes in fracture types and configurations as children approach skeletal maturity. Key points include the decrease in incidence of extra-articular fractures with age, the distinction between treating adolescents as children or adults, and the criteria for inclusion and exclusion of patients in this study.
The analysis includes an evaluation of the outcomes of closed reduction and percutaneous pinning (CRPP) for extra-articular supracondylar humerus fractures across various fracture types, including those classified as Gartland types 2 and 3 and T-type fractures. Findings suggest that fracture type distribution has a closer relationship with skeletal maturity than with chronological age, and specific factors such as fracture obliquity and pin spread significantly influence treatment success.
The study concludes by emphasizing that while fracture types evolve with maturity, CRPP remains a reliable treatment method for older children, contingent on optimal fixation techniques without necessitating a shift to adult treatment principles. Beckmez also notes limitations in the study, including its retrospective nature and the need for further exploration of clinical outcomes related to radiographic data.