background: supracondylar fracture of the humerus is the second most common fracture in children. for most cases closed reduction and percutaneous crossed pinning is recommended. those patients who had previously undergone an unsuccessful closed reduction trial need open reduction and pin fixation, but the best surgical approach is questionable. most surgeons apply the technique of posterior or...

BACKGROUND Notching of the anterior femoral cortex in distal femoral fractures following TKR has been observed clinically and studied biomechanically. It has been hypothesized that femoral notching weakens the cortex of the femur, which can predispose to femoral fractures in the early postoperative period. We examined the relationship between notching of the anterior femoral cortex during total...

PURPOSE The purpose of this study was to investigate the epidemiology of paediatric patients sustaining supracondylar humeral fractures, to identify common mechanisms of injury and to corroborate the anecdotal evidence that fractures occur more frequently during school holidays. METHODS All paediatric patients who presented to the accident and emergency department with a supracondylar distal ...

INTRODUCTION Closed reduction and percutaneous pinning are the most widely used treatment options for displaced supracondylar humerus fractures in children, but there is still no consensus concerning the most preferred technique in injuries of the extension type. OBJECTIVE The aim of this study was to compare three common orthopaedic procedures in the treatment of displaced extension type sup...

PURPOSE Supracondylar fractures of the humerus are the most common fracture of the elbow in children. The purpose of this study was to evaluate, in terms of outcomes and complications, Gartland type III pediatric supracondylar humerus fractures treated at a pediatric level-one trauma center over a 7-year period, specifically addressing the impact of time to surgery on the incidence of complicat...

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...

PURPOSE To review 7 patients with advanced osteoarticular tuberculous arthritis of the ankle who underwent arthrodesis using a supracondylar femoral nail. METHODS All patients showed gross destruction of the articular cartilage of the tibiotalar joint with severe periarticular rarefaction on radiographs. Their pre- and one-year post-operative Foot and Ankle Outcome Scores (FAOS) were compared...

PURPOSE To investigate the etiologic factors related to refractures of the upper extremity in children. PATIENTS AND METHODS Eighteen refractures were divided into three groups according to the location of the initial fractures. They were analyzed in terms of the type of refractures, fracture patterns, and the existence of an underlying deformity. RESULTS Of nine supracondylar fractures of ...

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...