Background: The vast majority of displaced pediatric supracondylar humeral fractures can be treated successfully with closed reduction and percutaneous pinning. The need for open reduction is difficult to determine a priori and is typically due to the failure of closed reduction attempts or persistent limb ischemia. The aims of this study were to determine the prevalence of flexion-type supraco...

PURPOSE To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. METHODS Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4 orthopaedic surgeons according to the Wilkins modification of the Gartland classification. Data w...

UNLABELLED PURPOSE OF THE STUDY Although supracondylar humeral fractures represent a major part of the pediatric fractures, no classification system or radiological characteristics describes which supracondylar fractures require open reduction. We aim to evaluate the factors that lead us to perform open reduction during operation. MATERIAL AND METHODS We retrospectively evaluated 57 patients wh...

PURPOSE To assess the results of treatment for flexion-type supracondylar humeral fracture in children. METHODS The treatment of 14 children with flexion-type supracondylar humeral fracture was reviewed. Severity was classified according to the Gartland system for extension-type fractures. Type-I fractures were treated with immobilisation in an extension cast. For type-II and -III 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...

PURPOSE This prospective study aimed to investigate the epidemiologic parameters of supracondylar humeral fractures in children admitted to a teaching institution of a developing country primarily catering to rural population, to find any preventable cause of such injuries. METHODS All suspected cases of supracondylar humeral fracture reporting to emergency or outpatients department were anal...

OBJECTIVES Intra-condylar humeral fracture with supracondylar comminution in cats is rare, and the stabilisation for such fractures is challenging. The purpose of our study was to describe the use of a hybrid external skeletal fixator, and to report the complications and outcomes of this surgical technique. METHODS A retrospective review was performed of clinical, radiographic and surgical re...

BACKGROUND Understanding national trends in the treatment of pediatric supracondylar humeral fractures will provide important insight into variations in regional treatment and identify areas for improving value and quality in care delivery in the U.S. METHODS U.S. national trends in the treatment of supracondylar humeral fractures were evaluated through query of the Humana (2007 to 2014) and ...

ABSTRACT Introduction: In areas where intraoperative radiography facilities are not available, open reduction is an acceptable treatment option for fracture treatment. The aim of this investigation was to compare the outcomes of closed reduction to open reduction with cross-pinning fixation in Gartland Type III supracondylar humeral fracture extensions. Methods: In this retrospective study, clo...

We performed a systematic review of early versus delayed treatment for type III Gartland supracondylar humeral fractures in children. We identified five non-randomised retrospective studies that fulfilled our criteria. We performed the analysis on 396 patients who sustained a type III supracondylar humeral fracture of which 243 (61.4%) belonged to the early treatment group and 153 (38.6%) belon...