Management of displaced extension-type supracondylar fractures of the humerus in children

A. M. Pirone, H. K. Graham, Joseph (Ivan) Krajbich

Research output: Contribution to journalArticle

289 Citations (Scopus)

Abstract

The cases of 230 patients who had a displaced extension-type supracondylar fracture of the humerus were reviewed retrospectively. The results of treatment by four different methods were assessed clinically and compared. The mean length of follow-up was 4.6 years (range, one to nine years). The highest percentages of excellent results were achieved by percutaneous Kirschner-wire fixation (78 per cent), skeletal traction (67 per cent), and open reduction with internal fixation (67 per cent). Closed reduction and application of a cast was associated with a significantly lower percentage of excellent results (51 per cent) and a higher percentage of early and late complications, including Volkmann ischemic contracture and cubitus varus. It is recommended that treatment with a case be reserved for undisplaced fractures only. Percutaneous Kirschner-wire fixation is advocated as the method of choice for the majority of displaced fractures.

Original languageEnglish (US)
Pages (from-to)641-650
Number of pages10
JournalJournal of Bone and Joint Surgery - Series A
Volume70
Issue number5
StatePublished - 1988
Externally publishedYes

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Bone Wires
Humerus
Ischemic Contracture
Traction
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Management of displaced extension-type supracondylar fractures of the humerus in children. / Pirone, A. M.; Graham, H. K.; Krajbich, Joseph (Ivan).

In: Journal of Bone and Joint Surgery - Series A, Vol. 70, No. 5, 1988, p. 641-650.

Research output: Contribution to journalArticle

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