Temporary Fixation of Reduction with Fabric Adhesive Bandage in the Surgical Treatment of Pediatric Supracondylar Humerus Fractures

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dc.contributor.authorTurhal, Ozan
dc.contributor.authorKınaş, Mustafa
dc.contributor.authorKaraduman, Zekeriya Okan
dc.contributor.authorTurhan, Yalçın
dc.contributor.authorKaya, Onur
dc.contributor.authorGüler, Cemal
dc.date.accessioned2020-04-30T23:32:35Z
dc.date.available2020-04-30T23:32:35Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionkaraduman, zekeriya okan/0000-0002-6719-3666en_US
dc.descriptionWOS: 000486769900049en_US
dc.descriptionPubMed: 31394888en_US
dc.description.abstractBackground and objectives: Supracondylar humerus fractures are common in children and can be surgically treated. However, the general surgical procedures involving reduction and fixation might lead to reduction loss, failure to direct the Kirschner (K)-wire toward the desired position, prolonged surgery, or chondral damage. This study aimed to show that temporary fixation of closed reduction with a fabric adhesive bandage in pediatric supracondylar humerus fractures could maintain reduction so that surgical treatment can be easily performed by a single physician. Materials and Methods: Forty-six patients with Gartland type 3 supracondylar humerus fractures who underwent surgical treatment between May 2017 and June 2018 were retrospectively evaluated. Fluoroscopy-guided reduction and fixation were performed from the distal third of the forearm to the proximal third of the humerus using a fabric adhesive bandage. Two crossed pins were applied on the fracture line by first inserting a lateral-entry K-wire and then inserting another K-wire close to the anterior aspect of the medial epicondyle and diverging from the ulnar nerve tunnel. A tourniquet was not applied in any patient and no patients required open reduction. Results: The study included 32 boys (69.6%) and 14 girls (30.4%) (mean age, 7.1; range, 2-16 years). The mean hospital stay and follow-up duration were 4.3 +/- 3.9 days and 48.1 +/- 14.3 weeks, respectively. Heterotopic ossification was detected in one patient, and ulnar nerve neuropraxia was detected in another patient. Functional (according to Flynn criteria) and cosmetic outcomes were excellent in 95.6%, moderate in 2.2%, and poor in 2.2% of patients. The mean duration of fixation of the closed reduction with a fabric adhesive bandage was 8.1 +/- 3.9 min, and the mean duration of pinning was 7.9 +/- 1.4 min. Conclusions: Temporary preoperative fixation of supracondylar humerus fractures that require surgical treatment with a fabric adhesive bandage may be significantly convenient in practice.en_US
dc.identifier.doi10.3390/medicina55080450en_US
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue8en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/medicina55080450
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4760
dc.identifier.volume55en_US
dc.identifier.wosWOS:000486769900049en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuaniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectsupracondylar humerus fracturesen_US
dc.subjectfluoroscopy-guided reduction and fixationen_US
dc.subjectfabric adhesive bandageen_US
dc.titleTemporary Fixation of Reduction with Fabric Adhesive Bandage in the Surgical Treatment of Pediatric Supracondylar Humerus Fracturesen_US
dc.typeArticleen_US

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