dc.contributor.author | Zenios, Michalis | en |
dc.contributor.author | Ramachandran, M. | en |
dc.contributor.author | Milne, Ben | en |
dc.contributor.author | Little, David G. | en |
dc.contributor.author | Smith, N. P. | en |
dc.creator | Zenios, Michalis | en |
dc.creator | Ramachandran, M. | en |
dc.creator | Milne, Ben | en |
dc.creator | Little, David G. | en |
dc.creator | Smith, N. P. | en |
dc.date.accessioned | 2018-06-22T09:53:37Z | |
dc.date.available | 2018-06-22T09:53:37Z | |
dc.date.issued | 2007 | |
dc.identifier.uri | https://gnosis.library.ucy.ac.cy/handle/7/41944 | |
dc.description.abstract | The aims of this study were (1) to ascertain prospectively whether rotational instability can be determined intraoperatively and (2) to quantify the incidence of rotational instability after lateral-entry wire fixation in type-3 supracondylar humeral fractures in children according to Wilkins modification of Gartland classification. (Fractures in Children. Vol 3. 4th ed. 1996:669-750). Twenty-one consecutive patients admitted with type-3 supracondylar fractures at the Children's Hospital at Westmead were surgically treated according to a predetermined protocol. After closed fracture reduction, 2 lateral-entry wires were inserted under radiographic control. Stability was then assessed by comparing lateral fluoroscopic images in internal and external rotation. If the fracture remained rotationally unstable, a third lateral-entry wire was inserted, and images were repeated. A medial wire was used only if instability was demonstrated after the insertion of 3 lateral wires. Rotational stability was achieved with 2 lateral-entry wires in 6 cases, 3 lateral-entry wires in 10 cases, and with an additional medial wire in 5 cases. Our results were compared with a control group of patients treated at our hospital before the introduction of this protocol. No patients required a reoperation after the introduction of our protocol as opposed to 6 patients in the control group. On analysis of radiographs, the protocol resulted in significantly less fracture position loss as evidenced by change in Baumann angle (P < 0.05) and lateral rotational percentage (P < 0.05). We conclude that supracondylar fractures that are rotationally stable intraoperatively after wire fixation are unlikely to displace postoperatively. Only a small proportion (26%) of these fractures were rotationally stable with 2 lateral-entry wires. © 2007 Lippincott Williams & Wilkins, Inc. | en |
dc.language.iso | eng | en |
dc.source | Journal of Pediatric Orthopaedics | en |
dc.subject | Pediatric | en |
dc.subject | Rotational stability | en |
dc.subject | Supracondylar humeral fracture | en |
dc.title | Intraoperative stability testing of lateral-entry pin fixation of pediatric supracondylar humeral fractures | en |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | 10.1097/BPO.0b013e318142566f | |
dc.description.volume | 27 | |
dc.description.issue | 6 | |
dc.description.startingpage | 695 | |
dc.description.endingpage | 702 | |
dc.author.faculty | Ιατρική Σχολή / Medical School | |
dc.author.department | Ιατρική Σχολή / Medical School | |
dc.type.uhtype | Article | en |