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Modified Closed Reduction and Percutaneous Kirschner Wires Internal Fixation for Treatment of supracondylar humerus fractures in Children

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当代医学科学(英文) 2021年第4期41卷 777-781页

作者： Shu-bin WANG Bin-hui LIN Wei LIU Guo-jun WEI Zong-guang LI Nai-chun YU Guang-rong JI Department of Orthopedic Surgery Xiang'an Hospital of Xiamen universityXiamen 361000China

Objective supracondylar humerus fractures are the most frequent fractures of the paediatric *** present study introduced a modified surgical procedure for treatment of supracondylar humerus fractures in *** From February 2015 to August 2019,73 patients with Gartland’s type II and III supracondylar fractures were treated with this modified ***,68 of all patients were followed up for 3–12 months(mean 8.25 months).The evaluation results included fracture nonunion,ulnar nerve injury,pin track infection,carrying angle and elbow joint Flynn *** The results showed that bone union was observed in all children,one case had an iatrogenic ulnar nerve injury,and the symptoms were completely relieved in 4 months after removing of the medial-side *** children had no cubitus varus deformity and no pin track infection,and the rate of satisfactory results according to Flynn’s criteria score was 100%.Conclusion The modified closed reduction and Kirschner wires internal fixation could effectively reduce the rate of open reduction,the risk of iatrogenic ulnar nerve injury,and the incidence of cubitus varus deformity in treatment of supracondylar humerus fractures in children.

关键词： supracondylar humerus fractures closed reduction Kirschner wires internal fixation surgical method

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Effectiveness of an early operating room start time in managing pediatric trauma

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World Journal of Orthopedics 2023年第7期14卷 516-525页

作者： Dan Kym Japsimran Kaur Nicole Segovia Pham Eric Klein Joanna Lind Langner Ellen Wang John Schoeneman Vorhies Department of Orthopaedic Surgery Stanford University School of MedicinePalo AltoCA 94304United States Lucile Packard Children’s Hospital Palo AltoCA 94304United States Department of Anesthesiology Pain and Perioperative MedicineStanford University School of MedicinePalo AltoCA 94304United States

BACKGROUND The timing of operative treatment for pediatric supracondylar humerus fractures(SCHF)and femoral shaft fractures(FSF)remains *** fractures previously considered to be surgical emergencies,such as SCHF and open fractures,are now commonly being treated the following *** presented with an urgent fracture overnight needing operative treatment,the on-call surgeon must choose whether to mobilize resources for a late-night case or to add the case to an elective schedule of the following *** To describe the effect of a program allowing an early operating room(OR)start for uncomplicated trauma prior to an elective day of surgery to decrease wait times for surgery for urgent fractures admitted *** Starting in October 2017,patients were eligible for the early slot in the OR at the discretion of the surgeon if they were admitted after 21:00 the previous night and before 05:*** compared demographics and timing of treatment of SCHF and FSF treated one year before and after implementation as well as the survey responses from the surgical *** Of the 44 SCHF meeting inclusion criteria,16 received treatment before imple mentation while 28 were treated *** implementation,the mean wait time for surgery decreased by 4.8 h or 35.4%(13.4 h vs 8.7 h;P=0.001).There were no significant differences in the operative duration,time in the post anesthesia care unit,and wait time for *** results demonstrated decreased popularity of the program among nurses and anesthesiologists relative to *** 57%of the surgeons believed that the program was effective,only 9%of anesthesiologists and 16%of nurses *** program was ultimately discontinued given the *** Our findings demonstrate significantly reduced wait times for surgery for uncomplicated SCHF presenting overnight while discussing the importance of shared decision-making with the *** the program produced promisi

关键词： Pediatrics Trauma supracondylar humerus fractures Operating room

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Iatrogenic brachial artery injury during pinning of supracondylar fracture of humerus： A rare injury

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Chinese Journal of Traumatology 2015年第5期18卷 302-303页

作者： Kumar Vishal R.H.H. Arjun Aggarwal Sameer John Rakesh Kishan Rama Department of Orthopaedics Postgraduate Institute of Medical Education and Research Chandigarh 160012 India

Complications following supracondylar fracture of humerus are well-known. Pre- and post-operative complications have been documented in the literature. Neumvascular injury due to fracture fragments following this type of fracture is described, latrogenic brachial artery during surgical treatment of this fracture is unknown to the literature. So we report a rare case of iatrogenic brachial artery injury during pinning of supracondylar fracture of humerus and try to create awareness to the surgeons that such injuries can occur with improper operative techniques.

关键词： supracondylar humerus fractures Complication Catrogenic neuro-vascular injuries

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