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Journal of Bone and Joint Surgery - British Volume, Vol 83-B, Issue 6,
888-893.
doi: 10.1302/0301-620X.83B6.11544 Copyright © 2001 by British Editorial Society of Bone and Joint Surgery Systematic pinning of displaced extension-type supracondylar fractures of the humerus in childrenA PROSPECTIVE STUDY OF 116 CONSECUTIVE PATIENTSK. Mazda, MD, Paediatric Orthopaedic Surgeon; C. Boggione, MD, Orthopaedic Surgeon; F. Fitoussi, MD, Paediatric Orthopaedic Surgeon; and G. F. Penneçot, MD, Paediatric Orthopaedic Surgeon, Professor of Paediatric Orthopaedic SurgeryRobert Debré Hospital, Denis Diderot - Paris VII University, 48 Boulevard Serrurier, 75019 Paris, France. Correspondence should be sent to Dr K. Mazda. We report the results of 116 consecutive displaced extension supracondylar fractures of the elbow in children treated during the first two years after the introduction of the following protocol; closed reduction under general anaesthesia with fluoroscopic control and lateral percutaneous pinning using two parallel pins or, when closed reduction failed, open reduction and internal fixation by cross-pinning. Eight patients were lost to follow-up during the first postoperative year. The mean follow-up for the remaining 108 was 27.9 months (12 to 47, median 26.5). At the final follow-up, using Flynn’s overall modified classification, the clinical result was considered to be excellent in 99 patients (91.6%), good in five (4.6%) and poor in four (3.7%). All the poor results were due to a poor cosmetic result, but had good or excellent function. Technical error in the initial management of these four cases was thought to be the cause of the poor results. The protocol described resulted in good or excellent results in 96% of our patients, providing a safe and efficient treatment for displaced supracondylar fractures of the humerus even in less experienced hands. This article has been cited by other articles:
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