![]() ![]() With the increasing prevalence of antibiotic. Although surgical-site infections are rare, postoperative antibiotics are frequently administered without evidence or guidelines for their use. It is a retrospective study that compares the outcomes after following 1 of 3 different postoperative protocols.Ĭopyright © 2021 Wolters Kluwer Health, Inc. Background: Pediatric supracondylar humerus fractures are common injuries that are often treated surgically with closed reduction and percutaneous pinning. This study is a level III therapeutic study. In an efficiency-focused era, we conclude that a standardized liberal protocol be considered at a busy orthopaedic center. There were no differences in postoperative complications or outcomes between the patients in the liberal, intermediate, or conservative protocol groups. There were no postoperative complications (unplanned return to operating room, refracture, need for fixation revision, or infection) in any patient. There were no differences in range of motion, functional motion, or elbow clinical function (P>0.01) between the postoperative protocol groups. ![]() Univariate analysis was conducted to detect the differences in outcomes between protocol groups with P0.01). Patients were evaluated for range of motion, functional elbow motion, and elbow clinical function, as well for postoperative complications. Postoperative protocols were classified as either "liberal," "intermediate," or "conservative," based on how quickly the surgeon allowed unrestricted motion of the elbow postoperatively. This is a retrospective study of all patients who underwent operative fixation of a supracondylar humerus fracture during the 2014 to 2015 academic year. The aim of this study was to compare outcomes between three different postoperative management protocols following operative fixation of supracondylar humerus fractures. Keywords: CRPP Flynn ‘s criteria Garland classification Supracondylar of the humerus fracture. As advanced practice providers take on larger roles in the care of fracture patients, it may alleviate confusion to standardize postoperative protocols. Conclusion: CRPP under image intensifier in treating pediatric supracondylar humerus fracture is an effective treatment and with good treatment result. Conclusion: Close reduction and percutaneous fixation with K-wire in Gartland III fracture in children is safe and effective treatment method with minimal hospital stay and less complications.Supracondylar humerus fractures are the most commonly operated upper extremity fracture in pediatric orthopaedics, yet there does not currently exist a standardized recommendation for a postoperative protocol. One patient ulnar nerve injury, after 3 months nerve explored that was contused, symptoms resolved afterwards. According to Flynn’s criteria cosmetic results were excellent in 54 (90%) and good in 6 (10%) patients and functional results were excellent in 54 (90%), good in 4(7%), fair in 2 (2%) and poor in 1(1%) patient. All patients are of extension type fracture. Right side was involved in 37(62%) and left side was involved in 23 (38%) patients. 42 (70%) boys and 18 (30%) girls with age ranging between 2 to 10 years. define type 4 gartland tx complete periosteal disruption. Results: All the 60 children with Gartland type III supracondylar humerus fracture included in this study. Clinical results were evaluated using the Flynn’s criteria. Material & methods: 60 children sustaining a Gartland type III supracondylar humerus fractures less than 1 week old that was treated by closed reduction and percutaneous pinning. Setting: Department of Orthopedics Civil Hospital Karachi. Supracondylar fractures of the distal humerus account for approximately 15 of all paediatric fractures 2,3,4.The median age of presentation is six years 5,6,7,8, and the incidence gradually reduces with age until age 15, when patients tend to present with an adult pattern. Objectives: The objective of this study is to assess the functional outcome of close reduction and percutaneous K- wire fixation in supracondylar humeral fracture (SCHF) Gartland type III fractures in children. Supracondylar Humerus fracture (SCHF), closed reduction and percutaneous pinning (CRPP), Open reduction internal fixation (ORIF) Abstract Jinnah Postgraduate Medical Center, Karachi.įatima Memorial College of Medicine and Dentistry, Lahore. Dow University of Health Sciences Civil Hospital Karachi. ![]()
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