$supracondylar fracture peidatric orthopedic surgeon vs$

Kwiatkowska M, Dhinsa BS, Mahapatra AN (2018) Does the surgery time affect the final outcome of type III supracondylar humeral fractures? J Clin Orthop Trauma 9(Suppl 1):S112–S115 Kronner JM Jr, Legakis JE, Kovacevic N, Thomas RL, Reynolds RAK, Jones ET (2013) An evaluation of supracondylar humerus fractures: is there a correlation between postponing treatment and the need for open surgical intervention? J Child Orthop 7(2):131–137 Iyengar SR, Hoffinger SA, Townsend DR (1999) Early versus delayed reduction and pinning of type III displaced supracondylar fractures of the humerus in children: a comparative study. Han Q-L, Wang Y-H, Liu F (2011) Comparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients. Gupta N, Kay RM, Leitch K, Femino JD, Tolo VT, Skaggs DL (2004) Effect of surgical delay on perioperative complications and need for open reduction in supracondylar humerus fractures in children. Orthopedics 29(7):628–632Ĭashman JP, Guerin SM, Hemsing M, McCormack D (2010) Effect of deferred treatment of supracondylar humeral fractures. J Pediatr Orthop 30(8):785–791Ĭarmichael KD, Joyner K (2006) Quality of reduction versus timing of surgical intervention for pediatric supracondylar humerus fractures. J Pediatr Orthop 33(7):750–754īales JG, Spencer HT, Wong MA, Fong Y-J, Zionts LE, Silva M (2010) The effects of surgical delay on the outcome of pediatric supracondylar humeral fractures. Injury 34(4):274–277Ĭarter CT, Bertrand SL, Cearley DM (2013) Management of pediatric type III supracondylar humerus fractures in the United States: results of a national survey of pediatric orthopaedic surgeons. Kim WY, Chandru R, Bonshahi A, Paton RW (2003) Displaced supracondylar humeral fractures in children: results of a national survey of paediatric orthopaedic consultants. BOAST - Supracondylar Fractures in the Humerus in Children. Who operates when 2? (WOWII) A report by the National Confidential Enquiry into Perioperative Deaths. Surg Gynecol Obstet.109(2):145–154Ĭheng JC, Ng BK, Ying SY, Lam PK (1999) A 10-year study of the changes in the pattern and treatment of 6,493 fractures.

$supracondylar fracture peidatric orthopedic surgeon vs$

Gartland JJ (1959) Management of supracondylar fractures of the humerus in children. Gartland JJ (1963) Supracondylar fractures of the humerus. Our data show that there is no increase in complications when these fractures are managed the next day.

$supracondylar fracture peidatric orthopedic surgeon vs$

When there is no indication for same night operating out of hours, delaying treatment until the next day seems to be a safe way of treating these difficult fractures. Rate of conversion to open reduction and nerve complications did not increase after delayed fixation. This dropped down to 7% after a change of practice in 2019. In the first audit, almost quarter of patients were operated on in the same night without clear indication as per the guidelines. Resultsġ72 patients reviewed across the three audit stages.

$supracondylar fracture peidatric orthopedic surgeon vs$

The first audit cycle occurred in 2017, subsequent cycles in 2018 & 2019. We included all displaced supracondylar fractures of the extension type (Gartland Types 2b and 3). Radiographs, admission clerking notes, operation notes, and clinic letters were all reviewed. Retrospective clinical audit against BOA guidelines. We present our data from a regional paediatric trauma centre before and after implementing a change in practice as per these guidelines. The British Orthopaedic Association (BOA) guidelines in managing supracondylar humerus fractures in children, outline indications for urgent fixation of these fractures.

$supracondylar fracture peidatric orthopedic surgeon vs$

Supracondylar fracture peidatric orthopedic surgeon vs