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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(04): e607-e612
DOI: 10.1055/s-0044-1787765
Artigo Original
Ortopedia Pediátrica

Radiographic Evaluation of the Surgical Treatment of Pediatric Supracondylar Humeral Fractures

Article in several languages: português | English
Gabriel Rigatti 
1   Departamento de Ortopedia e Traumatologia, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil
,
Sérgio Roberto Canarim Danesi 
2   Ortopedia Pediátrica, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil
,
Rafaela Dias Barbosa 
2   Ortopedia Pediátrica, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil
,
Douglas Backes Schreiner 
3   Cirurgia de Ombro e Cotovelo, Santa Casa de Misericórdia de Porto Alegre, RS, Brasil
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Financial Support The authors declare that they have not received financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
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Abstract

Objective To perform a radiographic assessment of the quality of supracondylar fracture fixation by identifying the factors that have contributed to inadequate reduction and increased the chance of reduction loss during outpatient follow-up. The variables analyzed were as follows: fracture line, initial displacement, time of day the surgery was performed, and chosen fixation technique.

Methods Review of electronic medical records and radiographic evaluation of supracondylar fractures operated from January 2017 to December 2022. The radiograph assessment was based on the Baumann angle and the anterior humeral line. Determination of fixation quality was based on the number of cortices, crossing site, and wire divergence.

Results We evaluated 194 cases, and postoperative reduction was poor in 17% of the subjects. Reduction loss occurred in 39 cases (20.10%), and 19 (48.7%) of these patients presented insufficient fixation (p = 0.002). Among the cases operated during the day, 12.5% lost the reduction compared with 32% of the patients who underwent surgery at night and early in the morning (p = 0.001).

Conclusion Reduction quality and postoperative fixation loss were closely related to technical errors and the time of day the surgery was performed.

Keywords

child - elbow - fracture fixation, internal - humeral fractures

Work carried out at the Department of Orthopedics and Traumatology, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brazil.




Publication History

Received: 07 August 2023

Accepted: 18 March 2024

Article published online:
01 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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