Can fracture location in relation to the olecranon fossa predict postoperative deformity in displaced pediatric supracondylar humerus fractures?
Kuwait Medical Journal, cilt.56, sa.1, ss.16-22, 2024 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 56 Sayı: 1
- Basım Tarihi: 2024
- Dergi Adı: Kuwait Medical Journal
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.16-22
- Anahtar Kelimeler: fracture line, humerus, olecranon fossa, pediatric, supracondylar
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: We aimed to examine the location of the fracture line according to olecranon fossa in displaced pediatric supracondylar humerus fractures. We wanted to know if there is a relation between necessity of open surgery and postoperative coronal and sagittal plane deformity rates or not. Design: Retrospective study Setting: Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Turkey, between 2010 and 2020 Subjects: One hundred and twenty-two patients with Gartland type 3 supracondylar humerus fracture Intervention: One hundred and twenty-two pediatric patients who underwent surgery with Gartland type 3 supracondylar humerus fracture with extension deformity were examined retrospectively. Main outcome measures: Surgery type, localization of fracture line according to olecranon fossa, postoperative varus-valgus deformity, and postoperative flexion-extension deformities were noted. Results: Fracture line according to olecranon fossa level passed through the lower 1/3 in 12 cases, through the middle 1/3 in 25 cases and through the upper 1/3 in 85 cases. There was no statistical significance between localization of fracture line according to olecranon fossa and open reduction rates (P=0.56). Varus rate was higher in patients with lower localization of fracture line according to olecranon fossa (41.7%) compared to patients with middle (12%) and upper (2.4%) level (P<0.001). Extension deformity rate was higher in patients with lower localization of fracture line according to olecranon fossa (33.3%), and flexion deformity rate was higher in patients with middle localization (8%) (P=0.001). Conclusion: Evaluation of fracture line level according to olecranon fossa may provide the surgeon estimating the possibility of postoperative coronal and sagittal plan deformity.