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Overview of the contemporary management of supracondylar humeral fractures in children.

Duffy, S; Flannery, O; Gelfer, Y; Monsell, F (2021) Overview of the contemporary management of supracondylar humeral fractures in children. Eur J Orthop Surg Traumatol, 31 (5). pp. 871-881. ISSN 1633-8065 https://doi.org/10.1007/s00590-021-02932-2
SGUL Authors: Gelfer, Yael

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Abstract

PURPOSE: Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. METHODS:  This article critically appraises the available evidence to provide an overview of the treatment options including the role and timing of surgery, the geometry of wire fixation and the management of nerve and arterial injury. CONCLUSION:  Management decisions are based on a number of considerations particularly fracture stability. Closed reduction and percutaneous K-wire stabilisation are commonly recommended for an unstable displaced fracture. These techniques are however associated with the potential for iatrogenic neurological injury. Vascular injury is also rare but must be recognised and treated promptly to avoid significant permanent morbidity.

Item Type: Article
Additional Information: © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Cubitus Varus, Neurovascular, Review, Supracondylar, Treatment, Supracondylar, Review, Treatment, Neurovascular, Cubitus Varus, Orthopedics
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: Eur J Orthop Surg Traumatol
ISSN: 1633-8065
Language: eng
Dates:
DateEvent
July 2021Published
20 March 2021Published Online
8 March 2021Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 33744996
Web of Science ID: WOS:000668266900007
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/113476
Publisher's version: https://doi.org/10.1007/s00590-021-02932-2

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