AB129. Opioid use following closed reduction and percutaneous pinning of paediatric supracondylar elbow fractures is not required to achieve adequate pain relief

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Supracondylar fractures of the humerus in children treated by closed reduction and percutaneous pinning.

During the period from 1973 to 1978, 38 children with displaced supracondylar fractures of the humerus were treated at The Children's Hospital of Philadelphia by closed reduction and percutaneous pin fixation. The technical details of the procedure include (1) reduction under general anesthesia with adequate relaxation; (2) insertion of crossed pins from the medial and lateral side with the elb...

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Ultrasound-guided Percutaneous Medial Pinning of Pediatric Supracondylar Humeral Fractures to Avoid Ulnar Nerve Injury.

Background:  Medial pinning is one of the most controversial aspects of the surgical treatment of supracondylar fractures (SHF) owing to the risk of ulnar nerve injury.  Aim: To evaluate the safety and usefulness of medial pinning for SHF using ultrasound imaging for ulnar nerve visualization.   Methods: Fifteen children, with a mean age of 60 months, with displaced SHF were treated with a cros...

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A Comparative Study of Three Percutaneous Pinning Techniques for Paediatric Supracondylar Humeral Fractures

Supracondylar fracture is one of the most common elbow injuries in children (1). Currently, closed reduction and percutaneous pinning of Gartland's types II and III supracondylar fractures of the humerus in children have become the standard method of treatment (2,3). However, controversy exists about the optimal K-wires configuration required to provide adequate fracture stability to maintain r...

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Closed Reduction versus Open Reduction and Pin Fixation in Pediatric Type III Supracondylar Humeral Fractures

Background Supracondylar humeral fractures constitute about 60% and 13% of all pediatric elbow and pediatric skeletal fractures, respectively, with a peak incidence in the 5-7 years age group. The aim of this study was to evaluate and compare closed reduction with open reduction and pin fixation in type III supracondylar humeral fractures in children younger than...

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Routine radiographs at time of pin removal after closed reduction and percutaneous pinning for type 2 supracondylar humerus fractures do not change management: a retrospective cohort study

PURPOSE Radiographs are usually taken on day of pin removal for children treated with closed reduction and percutaneous pinning (CRPP) of type 2 supracondylar humerus fractures. The purpose of this study was to determine whether radiographs taken at time of pin removal for patients recovering uneventfully alter management. METHODS After IRB approval, billing records identified 1213 patients a...

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ژورنال

عنوان ژورنال: Mesentery and Peritoneum

سال: 2020

ISSN: 2616-2725

DOI: 10.21037/map.2020.ab129