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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 5, 646-650.
doi: 10.1302/0301-620X.89B5.18224  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique

H.-Y. Lee, MD, PhD, Associate Professor1; and S.-J. Kim, MD, PhD, Assistant Professor2

1 Department of Orthopaedic Surgery, St. Vincent’s Hospital, The Catholic University of Korea School of Medicine, 93-6 Ji-dong, Suwon-si, Kyunggi-do, 442-723, Republic of Korea.
2 Department of Orthopaedic Surgery, Uijongbu St. Mary’s Hospital, The Catholic University of Korea School of Medicine, 65-1, Kumho-dong, Uijongbu-si, Kyunggi-do, 480-717, Republic of Korea.

Correspondence should be sent to Dr S-J. Kim; e-mail: peter{at}catholic.ac.kr

This study aimed to evaluate the use of pin leverage in the reduction of Gartland type III supracondylar fractures of the humerus in children. The study comprised 95 children, who were split into three groups according to the type of method of reduction used. Group 1, had an open reduction, group 2, had closed reduction and percutaneous pin fixation and group 3, the pin leverage technique. Each group was analysed according to the time to surgery, the duration of the procedure, the incidence of complications, and the clinical and radiological outcome.

The mean duration of the operative procedure in groups 1, 2 and 3 was 119 minutes (80 to 235), 57 minutes (20 to 110) and 68 minutes (30 to 90), respectively. At a mean follow-up of 30 months (12 to 63) the clinical results were declared excellent or good in all children and the radiological results intermediate in five patients in group 2. The results of the closed reduction using the pin leverage technique was classified as failure in two children.

Our findings lead us to believe that the pin leverage method of reduction gives good results in the treatment of Gartland type III fractures.




eLetters:

Read all eLetters

Treatment of displaced supracondylar fractures of the humerus in children by pin leverage technique
Sanjeev Sabharwal, et al.
J Bone Joint Surg Br Online, 4 Jul 2007 [Full text]
Treatment of displaced supracondylar fractures of the humerus in children by pin leverage technique
Praveen K R Mereddy
J Bone Joint Surg Br Online, 5 Jul 2007 [Full text]
Author's reply:
Seok-Jung Kim
J Bone Joint Surg Br Online, 17 Aug 2007 [Full text]

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