Evaluating Surgical Outcomes of Supracondylar Humerus Fractures Through Patient and Parent Perspectives Suprakondiler Humerus Kırıklarının Cerrahi Sonuçlarının Hasta ve Ebeveyn Perspektifinden Değerlendirilmesi
Medical Journal of Bakirkoy, cilt.21, sa.3, ss.252-258, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/bmj.galenos.2025.2025.3-3
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.252-258
- Anahtar Kelimeler: Supracondylar humerus fractures, pediatric trauma, patient and parental satisfaction
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study aimed to evaluate the surgical outcomes of supracondylar humerus (SCH) fractures in children aged 8-18 years, focusing on patient and parental satisfaction. Methods: A retrospective analysis was conducted on 105 pediatric patients (81 male and 24 female) treated surgically between 2018 and 2025. Data collected included demographic characteristics, fracture classification (Gartland), reduction type, surgical method, Baumann angle, capitellohumeral angle, healing time, follow-up duration, Visual Analog Scale (VAS) scores, Pediatric Quality of Life Inventory (PedsQL) scores, Client Satisfaction Questionnaire-8 (CSQ-8) scores, Flynn cosmetic and functional criteria, and complications. Subgroup analyses were performed to assess differences based on fracture classification and reduction type. Results: The mean age of the patients was 10.16±1.9 years. Gartland type 2 fractures demonstrated significantly shorter healing times compared to type 3 fractures (p=0.05), and closed reductions were associated with shorter healing times than open reductions (p=0.04). Although PedsQL scores, were higher in Gartland type 2 fractures (95.3±8) and closed reductions (94.9±8.1) compared to type 3 fractures (93.8±8.4) and open reductions (92.4±9.1), these differences were not statistically significant. Subgroup analysis revealed significant associations between CSQ-8 scores and the presence of concomitant injuries (p=0.03) as well as the need for revision surgeries (p=0.028). Overall, surgical outcomes were satisfactory, with high PedsQL and low VAS scores across all groups. Conclusion: Patient and parental satisfaction in SCH fracture treatment is influenced by concomitant injuries and revision surgery, despite generally favorable surgical outcomes.