Avtor/Urednik		Andoljšek, Matej
Naslov		Zaprta repozicija in perkutana fiksacija dislociranih suprakondilarnih zlomov otroške nadlaktnice
Prevedeni naslov		Closed reduction and percutaneus pinning of dislocated supracondylar fractures of child's humerus
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 65, št. 12
Leto izdaje		1996
Obseg		str. 667-71
Jezik		slo
Abstrakt		Backgraund. Inspite difficult treatment no decisionmaking algorithm for supracondylar fractures of child's humerus has been generaly accepted. Advantages and deficienties of closed reduction and percutaneus pinning were analysed. Methods and results. 28 dislocated supracondylar fractures of humerus (6 type II., 22 type III. according to Gartland) were treated. Except in two complex injuries (single open fracture with lacerated radial and compromised ulnar nerve; one brachial artery intimal tear with compromised median and ulnar nerve) closed manipulations controled by image intensifier were attempted. 21 fractures were successfully primary reduced and fixed percutaneusly (80,8%), once remanipulation was successful. In 4 irreducible fractures open reduction were performed. Ulnar nerve parestesias were recorded twice after closed procedure and once after open reduction followed several attempts of closed manipulations. 20 fractures (71,4%) were evaluated by Flynn's method. Among 17 evaluated closely reduced (4 type II., 22 type III.) fractures 15 excellent, one good and one fair results were recorded. One open reduction was successful but two were not. Conclusion. Closed manipulation with percutaneus pinning is safe and successful treatment modality for dislocated supracondylar fractures of humerus. Since repeated manipulations increase soft tissue injuries and chances of complications, in irreducible cases open reduction is indicated even if it is not complicationsfree either.
Deskriptorji		HUMERAL FRACTURES FRACTURE FIXATION CHILD BONE NAILS FRACTURES, CLOSED TREATMENT OUTCOME