The open approach to a supracondylar humerus fracture may be needed for fractures, vascular compromise, and most commonly, irreducible fractures refractory closed management. Gartland types III IV as well flexion-type are more likely require an technique. Vascular compromise can overt is the case of white, pulseless extremity or subtle with “pink, pulseless” extremity. use Doppler signals intra...

The orthopaedic service in Tunisia was opened in 1964 with 100 beds for a population of some five million people. Referrals included patients with Volkmann’s ischaemic contracture or with gangrene of the hand following supracondylar fracture of the humerus treated with the elbow in acute fiexion. It was thus incumbent upon us to develop a reliable method of treatment which would avoid these tra...

We reviewed 26 patients who had had internal fixation of an open intra-articular supracondylar fracture of the humerus. All operations were performed using a posterior approach, 13 with a triceps split and 13 with an olecranon osteotomy. The outcome was assessed by means of the Mayo Elbow score, the Disability of the Arm, Shoulder and Hand (DASH) score and the SF-36 Physical Function score. Pat...

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...

A "Fishtail deformity" is one of the well-known complications following pediatric lateral condyle or supracondylar fractures of the humerus. We herein report a case of medial condyle fracture (Kilfoyle type III) in an 11-year-old boy. He had a transient "fishtail deformity" of the trochlear groove after open reduction and internal fixation. As occurred in the current case, the bone remodeling a...

BACKGROUND The purpose of this study was to evaluate the necessity of early postoperative radiographs after pinning of supracondylar humerus fractures by determining both the percentage of patients who displayed change in fracture fixation and whether these changes affected their outcome. METHODS A series of 643 consecutive patients who underwent operative management of Gartland type II and I...

OBJECTIVE Supracondylar extension type III fractures in children are difficult to treat especially in maintaining reduction after closed manipulation, thereby increasing chances of complications. MATERIALS AND METHODS Forty consecutive patients with supracondylar extension type III fracture of the humerus attending Kathmandu Medical College Teaching Hospital (KMCTH) between July 2004 to Decem...