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...

Supracondylar fractures of the humerus are common in children. Closed reduction and percutaneous pinning is primary method management, though 2–12% these require open reduction. There no conclusive evidence to dictate best surgical approach fracture. This paper aims review supracondylar discusses early late associated complications. The treatment options then examined, with a focus on preferred...

The most common elbow injuries in pediatric trauma practice are supracondylar fractures of the humerus. Posteriorly displaced fractures may be angulated or displaced medially or laterally with associated internal or external rotation. We compared two groups of patients, each with grade III supracondylar fractures after Gartland. The goal of this study was to see if reduction and pinning maneuve...

Paediatric supracondylar fractures of the femur are not common. The treatment options depend on the age of child, the site of the fracture, the pattern of injury and the surgeon's preference. We report a case of an 11-year old boy who sustained a comminuted displaced supracondylar fracture of the femur and was treated with indirect reduction and internal fixation with the Less Invasive Stabiliz...

Upper extremity fractures account for up to 90% of paediatric fractures. Amongst these fractures, Supracondylar Humerus fractures are one of the most common requiring surgical intervention and have a high prevalence of associated short term complications such as nerve injuries and long term complications such as cubitus varus. The epidemiology, classifications, clinical evaluation and complicat...

A review was conducted of the records of fifty-five children who were admitted to the Hospital for Sick Children in Toronto between 1955 and 1975 with a diagnosis of Volkmann's contracture in fifty-eight limbs. Ten patients had been transferred to this hospital with established ischaemia after Bryant's traction for a fractured femur; all had a very poor outcome. Thirteen other cases of Volkmann...

Introduction: Approximately 15 to 20 percent of all proximal humeral fractures are displaced and require operative treatment [1]. Reduced bone quality of the humeral head complicates internal fixation and may result in implant loosening, fracture re-displacement and poor functional outcome for the patient [2, 3]. Little is known about the effect of bone mineral density (BMD) on internal fixatio...

BACKGROUND The purpose of this study was to evaluate the biomechanical advantages of medial support screws (MSSs) in the locking proximal humeral plate for treating proximal humerus fractures. METHODS Thirty synthetic left humeri were randomly divided into 3 subgroups to establish two-part surgical neck fracture models of proximal humerus. All fractures were fixed with a locking proximal hume...