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Introduction Supracondylar fractures of the humerus are the most frequent fractures affecting the paediatric elbow 1 and their correct management is important because they can cause catastrophic complications. Despite there being a clear
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) Nonunion after conservative treatment of a supracondylar fracture. (C) Bone stock evaluation with computed tomography. (D) Triceps on approach. (E) Nonunion before fibrous tissue debridement. (F) After fibrous debridement, reduction and fixation with two
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Does evidence-based medicine support the increasing tendency towards operative treatment? Humerus supracondylar fractures, femur shaft fractures and forearm fractures can be considered as the three paediatric fractures in which surgical treatment has
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fracture ( n = 2), Su type II interprosthetic supracondylar fracture ( n = 2), A3 fracture with li mited bone stock ( n = 1), Loss of anchorage distally after initial lateral plate fixation for Su type II supracondylar periprosthetic fracture ( n
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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similar results in terms of accuracy. Malunion of supracondylar fractures occurs mainly in children and arises in 4–58% of cases 17 . Robinson et al showed a non-union rate of 4.5% in complex distal humeral fractures (type C according to the AO
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
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can be divided into supracondylar fractures and fractures with physeal involvement. Although distal femur fractures are reportedly rare, Smith et al . ( 13 ) in their retrospective study described an incidence of 12% for distal femur fractures of all
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patellar fracture, but supracondylar fractures of the femur are relatively rare ( 27 , 28 ). This may be related to the fact that the residual force is insufficient to cause a supracondylar fracture ( 29 ). Clinical presentation The current reports
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& Waddell J . The Toronto experience with the supracondylar fracture of the femur, 1966–72 . Injury 1974 6 113 – 128 . ( https://doi.org/10.1016/0020-1383(7490005-9 ) 10 Hake ME Davis ME Perdue AM & Goulet JA . Modern implant options for the
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Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands
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pinning of a supracondylar fracture, and one with previous extension deficit in concomitant sickle cell disease. 14 Both studies mentioned the duration of symptoms, and Kaziz et al described these data for every individual patient. However, no firm
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most often occurs resulting from inadequate reduction of a supracondylar fracture of the humerus. Cubitus varus does not always impair elbow function or elbow range of motion, but the cosmetic deformity may lead parents to request an operation to
