HYPOTHESIS The modified Gartland classification system for pediatric supracondylar fractures is often utilized as a communication tool to aid in determining whether or not a fracture warrants operative intervention. This study sought to determine the interobserver and intraobserver reliability of the Gartland classification system, as well as to determine whether there was agreement that a frac...

INTRODUCTION: Post-operative pain control in pediatric patients has become a priority for all institutions. There is a paucity of literature on pain control following orthopedic procedures in the pediatric population. The purpose of this study is to compare the efficacy of acetaminophen to narcotic analgesics, specifically, acetaminophen/codeine and morphine, for pain management after closed re...

The study presents the experience of surgical treatment for deforming osteoarthritis knee joint II-III stage, with axial deformations in 75 patients. Supracondylar varus resection osteotomies femur and supratuberous valgus tibia were performed depending on deformities. results these interventions evaluated according to methods developed our clinic. Good obtained 74% cases, satisfactory - 26% ca...

Introduction: Supracondylar humerus fracture is one of the most found fractures in children. In addition to adequate fixation, role age differences clinical outcomes operative treatment supracondylar humeral still a matter debate. This study aimed compare and radiological outcome surgery cases Gartland type III fracture. Materials Methods: used cross-sectional design on population patient with ...

We have reviewed 34 children who had been treated by open reduction through a medial incision and transarticular pinning for a severely displaced supracondylar fracture of the humerus. Follow-up ranging from nine months to 20 years showed that 27 of 34 elbows (79%) had excellent or good results, with satisfactory resolution of neurovascular problems and no complications due to the method of tre...

We report a case of a girl with complete sacral agenesis associated with arthrogrypotic-like deformity. This case demonstrates that a posterior knee release and braces following operation are effective treatment for knee-flexion contractures. Accordingly it is suggested that a supracondylar osteotomy is not required for mild or moderate recurrence of knee-flexion contractures.

The step-by-step preoperative planning for supracondylar opening wedge osteotomy of the femur for precise correction of the load axis of the lower limb using a fixed-angle implant (95° AO blade plate) is presented. The surgical technique and the use of a bone graft from the same site for filling in the defect are also presented.

A closed reduction technique using a posteriorly inserted intrafocal Kirschner wire for unstable Gartland type-III supracondylar humeral fractures in children is described. This surgical technique has been used in 7 patients. None had neurovascular complications, and all achieved bone union and had good or excellent functional and cosmetic results.

This annotation discusses the findings of two papers in the current issue describing the management of the neurovascular complications of supracondylar fractures of the humerus in childhood, with particular reference to the indications for and the timing of exploration of the brachial artery and the affected nerves.