Clinical Research
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Year 2023, , 554 - 561, 01.10.2023

Malik Çelik , Alkan Bayrak

https://doi.org/10.31067/acusaglik.1278015

Abstract

References

  • O’Hara LJ, Barlow JW, Clarke NM. Displaced supracondylar fractures of the humerus in children. Audit changes practice. J Bone Joint Surg Br. 2000;82(2):204–10
  • Gartland JJ. Management of supracondylar fracture of the humerus in children. Surg Gynecol Obstet. 1959;109(2):145-54
  • Omid R, Choi PD, Skaggs DL. Supracondylar humeral fractures in children. J Bone Joint Surg Am. 2008;90:1121–32
  • Skaggs DL, Flynn JM. Supracondylar fractures of the distal humerus In: Beaty JH, Kasser JR, eds. Rockwood and Green’s Fractures in Children. 7th Ed. Philadelphia, PA: Lippincott Williams & Wilkins. 2010: 487–532.
  • El-Adl WA, El-Said MA, Boghdady GW, Ali AS. Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique. Strategies Trauma Limb Reconstr 2008;3(1):1-7
  • Oh CW, Park BC, Kim PT, Park IH, Kyung HS, Ihn JC. Completely displaced supracondylar humeral fractures in children: results of open reduction versus closed reduction. J Orthop Sci. 2003;8(2):137-41
  • Swenson AL. The treatment of supracondylar fractures of the humerus by Kirschner-wire transfixation. J Bone Joint Surg Am. 1948;30:993–97
  • Campbell CC, Waters PM, Emans JB, Kasser JR, Millis MB. Neurovascular injury and displacement in type III supracondylar humerus fractures. J Pediatric Orthop. 1995;15(1):47–52
  • Wegmann H, Eberl R, Kraus T, Till H, Eder C, Singer G. The impact of arterial vessel injuries associated with pediatric supracondylar humeral fractures. J Trauma Acute Care Surg. 2014;77(2):381-5
  • Aslan, A., Konya, M. N., Ozdemir, A., Yorgancigil, H., Maralcan, G., & Uysal, E. (2014). Open reduction and pinning for the treatment of Gartland extension type III supracondylar humeral fractures in children. Strategies in trauma and limb reconstruction, 9(2), 79–88. https://doi.org/10.1007/s11751-014-0198-7
  • Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am. 2001;83-A(5):735–40
  • Zamzam MM, Bakarman KA. Treatment of displaced supracondylar humeral fractures among children: crossed versus lateral pinning. Injury. 2009;40(6):625–30
  • Lee SS, Mahar AT, Miesen D, Newton PO. Displaced pediatric supracondylar humerus fractures: biomechanical analysis of percutaneous pinning techniques. J Pediatr Orthop. 2002;22(4):440–3
  • Zionts LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. J Bone Joint Surg Am. 1994;76(2):253-6
  • Sankar WN, Hebela NM, Skaggs DL, Flynn JM. Loss of pin fixation in displaced supracondylar humeral fractures in children: causes and prevention. J Bone Joint Surg Am. 2007;89(4):713–7
  • Srikumaran U, Tan EW, Erkula G, Leet AI, Ain MC, Sponseller PD. Pin size influences sagittal alignment in percutaneously pinned pediatric supracondylar humerus fractures. J Pediatr Orthop. 2010;30(8):792–8
  • Namba RS, Kabo JM, Meals RA. Biomechanical effects of point configuration in Kirschner-wire fixation. Clin Orthop Relat Res. 1987;214:19–22
  • Basaran SH, Ercin E, Bilgili MG, Bayrak A, Cumen H, Avkan MC. A new joystick technique for unsuccessful closed reduction of supracondylar humeral fractures: minimum trauma. Eur J Orthop Surg Traumatol. 2014;25(2):297-303
  • Lee KM, Chung CY, Gwon DK, Sung KH, Kim TW, Choi IH, et al. Medial and lateral crossed pinning versus lateral pinning for supracondylar fractures of the humerus in children: Decision Analysis. J Pediatr Orthop. 2012;32(2):131–8
  • Gaston RG, Cates TB, Devito D, Schmitz M, Schrader T, Busch M, et al. Medial and lateral pin versus lateral-entry pin fixation for Type 3 supracondylar fractures in children: a prospective, surgeon-randomized study. J Pediatr Orthop. 2010;30(8):799–806
  • Claireaux H, Goodall R, Hill J, Wison E, Coull P, Green S, et al. Multicentre collaborative chort study of the use of Kirschner wires for the management of supracondylar fractures in children. Chin J Traumatol. 2019;22(5):249-54
  • Patriota GA, Filho CAA, Assunçao CA. What is the best fixation technique for the treatment of supracondylar humerus fractures in children? Rev Bras Ortop. 2017;52(4):428-34
  • Khwaja MK, Khan WS, Ray P, Park DH. A retrospective study comparing crossed and lateral wire configurations in pediatric supracondylar fractures. Open Orthop J. 2017;11:432-8
  • Gopinathan NR, Sajid M, Sudesh P, Behera P. Outcome analysis of lateral pinning for displaced supracondylar fractures in children using three Kirschner wires in parallel and divergent configuration. Indian J Orthop. 2018;52:554-60
  • Ercin E, Bilgili MG, Baca E, Başaran SH, Bayrak A, Kural C, et al. Medial mini-open versus percutaneous pin fixation for pediatric type 3 supracondylar fractures in children. Ulus Travma Acil Cerrahi Derg 2016;22(4):350–4
  • Lamdan R, Liebergall M, Gefen A, Symanovsky N, Peleg E. Pediatric supracondylar humeral fractures: effects of bone-implant interface conditions on fracture stability. J Child Orthop 2013;7:565–9
  • Memisoglu K, Cevdet Kesemenli C, Atmaca H. Does the technique of lateral cross-wiring (Dorgan’s technique) reduce the iatrogenic ulnar nerve injury? Int Orthop. 2011;35(3):375-8
  • McKeon KE, O’Donnell JC, Bashyal R, Hou CC, Luhmann SJ, Dobbs MB, et al. Immobilization after pinning of supracondylar distal humerus fractures in children: use of the A-frame cast. J Pediatr Orthop. 2012;32(1):e1–e5
  • Mehlman CT, Strub WM, Roy DR, Wall EJ, Crawford AH. The effect of surgical timing on the perioperative complications of treatment of supracondylar humeral fractures in children. J Bone Joint Surg Am. 2001;83(3):323-7
  • Kocher MS, Kasser JR, Waters PM, Bae D, Snyder BD, Hresko MT, et al. Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial. J Bone Joint Surg Am. 2007;89(4):706-12

Do K-wire Configurations and Numbers Have Effects on Gartland Type 3 Pediatric Supracondylar Humeral Fractures?

Year 2023, , 554 - 561, 01.10.2023

Malik Çelik , Alkan Bayrak

https://doi.org/10.31067/acusaglik.1278015

Abstract

Purpose: The purpose of this study was to compare pin configuration effects on early secondary displacement in the surgical treatment of pediatric supracondylar humeral fractures (SCHF).

Methods: The study consisted of 100 (68M, 32F) children who underwent surgery between 2010 and 2013 for Gartland Type 3 (SCHF). The patients were divided into five groups according to the top configurations. The average age at the time of injury was 7.34 (between 2 and 14 years). Bauman angle (BA), Humerocapital angle (HCA), Anterior humeral line (AHL), flexion range, extension range, and Carrying angle (CA) were compared at preoperative, postoperative 1st-day, postoperative last control, and non-operated side.

Results: There was no statistical difference between all five subgroups in terms of BA, AHL, HCA, and CA were the same on postoperative 1st-day and postoperative last control. Also, there was no statistically significant difference was observed between age, sex, and type of fracture. Five of the cases have pin site infection and in three patients occurred ulnar nerve injury due to initial trauma.

Conclusion: After a good and gentle reduction and early treatment of pediatric SCHF, all pin configurations maintain alignment. All pin configurations can be used for stabilization.

Keywords

pediatric supracondylar humeral fracture k wires closed reduction pin configuration.

References

  • O’Hara LJ, Barlow JW, Clarke NM. Displaced supracondylar fractures of the humerus in children. Audit changes practice. J Bone Joint Surg Br. 2000;82(2):204–10
  • Gartland JJ. Management of supracondylar fracture of the humerus in children. Surg Gynecol Obstet. 1959;109(2):145-54
  • Omid R, Choi PD, Skaggs DL. Supracondylar humeral fractures in children. J Bone Joint Surg Am. 2008;90:1121–32
  • Skaggs DL, Flynn JM. Supracondylar fractures of the distal humerus In: Beaty JH, Kasser JR, eds. Rockwood and Green’s Fractures in Children. 7th Ed. Philadelphia, PA: Lippincott Williams & Wilkins. 2010: 487–532.
  • El-Adl WA, El-Said MA, Boghdady GW, Ali AS. Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique. Strategies Trauma Limb Reconstr 2008;3(1):1-7
  • Oh CW, Park BC, Kim PT, Park IH, Kyung HS, Ihn JC. Completely displaced supracondylar humeral fractures in children: results of open reduction versus closed reduction. J Orthop Sci. 2003;8(2):137-41
  • Swenson AL. The treatment of supracondylar fractures of the humerus by Kirschner-wire transfixation. J Bone Joint Surg Am. 1948;30:993–97
  • Campbell CC, Waters PM, Emans JB, Kasser JR, Millis MB. Neurovascular injury and displacement in type III supracondylar humerus fractures. J Pediatric Orthop. 1995;15(1):47–52
  • Wegmann H, Eberl R, Kraus T, Till H, Eder C, Singer G. The impact of arterial vessel injuries associated with pediatric supracondylar humeral fractures. J Trauma Acute Care Surg. 2014;77(2):381-5
  • Aslan, A., Konya, M. N., Ozdemir, A., Yorgancigil, H., Maralcan, G., & Uysal, E. (2014). Open reduction and pinning for the treatment of Gartland extension type III supracondylar humeral fractures in children. Strategies in trauma and limb reconstruction, 9(2), 79–88. https://doi.org/10.1007/s11751-014-0198-7
  • Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am. 2001;83-A(5):735–40
  • Zamzam MM, Bakarman KA. Treatment of displaced supracondylar humeral fractures among children: crossed versus lateral pinning. Injury. 2009;40(6):625–30
  • Lee SS, Mahar AT, Miesen D, Newton PO. Displaced pediatric supracondylar humerus fractures: biomechanical analysis of percutaneous pinning techniques. J Pediatr Orthop. 2002;22(4):440–3
  • Zionts LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. J Bone Joint Surg Am. 1994;76(2):253-6
  • Sankar WN, Hebela NM, Skaggs DL, Flynn JM. Loss of pin fixation in displaced supracondylar humeral fractures in children: causes and prevention. J Bone Joint Surg Am. 2007;89(4):713–7
  • Srikumaran U, Tan EW, Erkula G, Leet AI, Ain MC, Sponseller PD. Pin size influences sagittal alignment in percutaneously pinned pediatric supracondylar humerus fractures. J Pediatr Orthop. 2010;30(8):792–8
  • Namba RS, Kabo JM, Meals RA. Biomechanical effects of point configuration in Kirschner-wire fixation. Clin Orthop Relat Res. 1987;214:19–22
  • Basaran SH, Ercin E, Bilgili MG, Bayrak A, Cumen H, Avkan MC. A new joystick technique for unsuccessful closed reduction of supracondylar humeral fractures: minimum trauma. Eur J Orthop Surg Traumatol. 2014;25(2):297-303
  • Lee KM, Chung CY, Gwon DK, Sung KH, Kim TW, Choi IH, et al. Medial and lateral crossed pinning versus lateral pinning for supracondylar fractures of the humerus in children: Decision Analysis. J Pediatr Orthop. 2012;32(2):131–8
  • Gaston RG, Cates TB, Devito D, Schmitz M, Schrader T, Busch M, et al. Medial and lateral pin versus lateral-entry pin fixation for Type 3 supracondylar fractures in children: a prospective, surgeon-randomized study. J Pediatr Orthop. 2010;30(8):799–806
  • Claireaux H, Goodall R, Hill J, Wison E, Coull P, Green S, et al. Multicentre collaborative chort study of the use of Kirschner wires for the management of supracondylar fractures in children. Chin J Traumatol. 2019;22(5):249-54
  • Patriota GA, Filho CAA, Assunçao CA. What is the best fixation technique for the treatment of supracondylar humerus fractures in children? Rev Bras Ortop. 2017;52(4):428-34
  • Khwaja MK, Khan WS, Ray P, Park DH. A retrospective study comparing crossed and lateral wire configurations in pediatric supracondylar fractures. Open Orthop J. 2017;11:432-8
  • Gopinathan NR, Sajid M, Sudesh P, Behera P. Outcome analysis of lateral pinning for displaced supracondylar fractures in children using three Kirschner wires in parallel and divergent configuration. Indian J Orthop. 2018;52:554-60
  • Ercin E, Bilgili MG, Baca E, Başaran SH, Bayrak A, Kural C, et al. Medial mini-open versus percutaneous pin fixation for pediatric type 3 supracondylar fractures in children. Ulus Travma Acil Cerrahi Derg 2016;22(4):350–4
  • Lamdan R, Liebergall M, Gefen A, Symanovsky N, Peleg E. Pediatric supracondylar humeral fractures: effects of bone-implant interface conditions on fracture stability. J Child Orthop 2013;7:565–9
  • Memisoglu K, Cevdet Kesemenli C, Atmaca H. Does the technique of lateral cross-wiring (Dorgan’s technique) reduce the iatrogenic ulnar nerve injury? Int Orthop. 2011;35(3):375-8
  • McKeon KE, O’Donnell JC, Bashyal R, Hou CC, Luhmann SJ, Dobbs MB, et al. Immobilization after pinning of supracondylar distal humerus fractures in children: use of the A-frame cast. J Pediatr Orthop. 2012;32(1):e1–e5
  • Mehlman CT, Strub WM, Roy DR, Wall EJ, Crawford AH. The effect of surgical timing on the perioperative complications of treatment of supracondylar humeral fractures in children. J Bone Joint Surg Am. 2001;83(3):323-7
  • Kocher MS, Kasser JR, Waters PM, Bae D, Snyder BD, Hresko MT, et al. Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial. J Bone Joint Surg Am. 2007;89(4):706-12
There are 30 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research Article
Authors

Malik Çelik 0000-0002-3696-9644

Alkan Bayrak 0000-0003-0189-1645

Early Pub Date September 16, 2023
Publication Date October 1, 2023
Submission Date April 6, 2023
Published in Issue Year 2023

Cite

EndNote Çelik M, Bayrak A (October 1, 2023) Do K-wire Configurations and Numbers Have Effects on Gartland Type 3 Pediatric Supracondylar Humeral Fractures?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 4 554–561.