TY - JOUR
T1 - Current Strategies for the Management of Pediatric Supracondylar Humerus Fractures
T2 - Tips and Techniques for Successful Closed Treatment
AU - Brighton, Brian
AU - Abzug, Joshua
AU - Ho, Christine A nn
AU - Ritzman, Todd F.
PY - 2016
Y1 - 2016
N2 - Pediatric supracondylar humerus fractures are the most commonly encountered type of elbow fractures in children that require surgical fixation. Many pediatric supracondylar humerus fractures can be treated with closed reduction and percutaneous skeletal fixation. In difficult fractures, adjunct pin techniques, such as joystick wires and leverage pins, can be used to help attain a satisfactory and stable reduction before an open approach is used. After the fracture is reduced, optimal pinning, with the use of either crossed or lateral-entry techniques, and fixation that achieves maximal spread at the fracture site as well as bicortical engagement in both fragments are essential to maintain reduction and avoid complications that are associated with malunion. A practical approach as well as several tips and techniques may help surgeons attain and maintain stable closed reduction of pediatric supracondylar humerus fractures.
AB - Pediatric supracondylar humerus fractures are the most commonly encountered type of elbow fractures in children that require surgical fixation. Many pediatric supracondylar humerus fractures can be treated with closed reduction and percutaneous skeletal fixation. In difficult fractures, adjunct pin techniques, such as joystick wires and leverage pins, can be used to help attain a satisfactory and stable reduction before an open approach is used. After the fracture is reduced, optimal pinning, with the use of either crossed or lateral-entry techniques, and fixation that achieves maximal spread at the fracture site as well as bicortical engagement in both fragments are essential to maintain reduction and avoid complications that are associated with malunion. A practical approach as well as several tips and techniques may help surgeons attain and maintain stable closed reduction of pediatric supracondylar humerus fractures.
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M3 - Article
C2 - 27049203
AN - SCOPUS:84977455642
SN - 0065-6895
VL - 65
SP - 353
EP - 360
JO - Instructional course lectures
JF - Instructional course lectures
ER -