Management of supracondylar fractures of the humerus in children

EFORT Open Reviews

article

Alfonso Vaquero-Picado¹  Gaspar González-Morán¹  Luis Moraleda¹ 

[1] Department of Orthopaedic Surgery, Hospital Universitario La Paz

关键词: supracondylar fractures;    children;    management;   

DOI  :  10.1302/2058-5241.3.170049

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Supracondylar fractures of the humerus are the most frequent fractures affecting the paediatric elbow1 and their correct management is important because they can cause catastrophic complications. Despite there being a clear consensus about some issues regarding proper treatment of these fractures, controversy remains with regard to aspects such as the fact that there is no good classification that guides treatment or predicts complications. In addition, the debates remain unresolved about the timing of emergency reduction or whether reduction can be safely delayed, the controversy regarding proper treatment of Gartland type II fractures, the adequate reduction technique, the risk/benefit ratio of open reduction, the best pin configuration, whether to use a medial pin, the adequate management of a pink pulseless hand, the remodelling capacity of the distal humerus and the long-term consequences of a cubitus varus deformity.

【 授权许可】

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