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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 380-381.
doi: 10.1302/0301-620X.88B3.17181  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Early versus delayed treatment of extension type-3 supracondylar fractures of the humerus in children

M. Sibinski, PhD, Clinical Orthopaedic Fellow1; H. Sharma, FRCS, Specialist Registrar in Orthopaedics1; and G. C. Bennet, FRCS, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics, Royal Hospital for Sick Children, Dainair Street, Glasgow G3 8SJ, UK.

Correspondence should be sent to Dr M. Sibinski; e-mail: sibinek{at}poczta.onet.pl

We examined differences in the rate of open reduction, operating time, length of hospital stay and outcome between two groups of children with displaced supracondylar fractures of the humerus who underwent surgery either within 12 hours of the injury or later.

There were 77 children with type-3 supracondylar fractures. Of these, in 43 the fracture was reduced and pinned within 12 hours and in 34 more than 12 hours after injury. Both groups were similar in regard to gender, age and length of follow-up. Bivariate and logistical regression analysis showed no statistical difference between the groups. The number of peri-operative complications was low and did not affect the outcome regardless of the timing of treatment.

Our study confirmed that the treatment of uncomplicated displaced supracondylar fractures of the humerus can be early or delayed. In these circumstances operations at night can be avoided.




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Extension type-3 supracondylar fractures of the humerus in children
Jitendra Mangwani, et al.
J Bone Joint Surg Br Online, 11 Apr 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General