We evaluated postoperative radiographs for coronal/sagittal deformity, Baumann angle, and rotation and classified reductions as near complete/complete or incomplete. Parents were also asked whether the previously fractured arm appeared normal or abnormal. Patients, parents were asked via telephone to complete the QuickDASH (Quick Disability of the Arm, Shoulder, and Hand) and PROMIS (Patient-Reported Outcomes Measurement Information System) Strength Impact, Upper Extremity, and Pain Interference questionnaires. We evaluated preoperative radiographs for coronal/sagittal fracture displacement, presence of impaction/comminution, Gartland classification, and rotation. Mean time from initial treatment to outcome survey completion was 5.0 ± 2.1 years (range, 2.0–10 years). Mean (± standard deviation) age at surgery was 5.1 ± 2.1 years. We retrospectively reviewed data from 213 patients (104 girls) treated surgically for Gartland type-II (n = 84) or type-III (n = 129) SCH fractures from 2008–2016. We studied whether such parameters are correlated with mid-term patient-reported outcome (PRO) scores in pediatric patients. doi:10.Radiographic parameters are commonly used to determine the need for surgical supracondylar humeral (SCH) fracture reduction and the postoperative quality of reduction. Complications and timing of follow-up after closed reduction and percutaneous pinning of supracondylar humerus fractures: follow-up after percutaneous pinning of supracondylar humerus fractures. Ponce BA, Hedequist DJ, Zurakowski D, et al. Percutaneous pinning of pediatric supracondylar humerus fractures with the semisterile technique. Risk of infection and secondary displacement in pediatric supracondylar or lateral condyle fractures treated with unburied Kirchener-wires removed before complete bone healing. How safe is the semi-sterile technique in the percutaneous pinning of supracondylar humerus fractures? Ulus Trauma Acil Cerrahi Derg. A technique to determine proper pin placement of crossed pins in supracondylar fractures of the elbow. Semi-sterile operative technique is cost effective and has decreased preparation-to-incision time.Ĭost fracture infections pediatric supracondylar trauma. The administration of pre-operative antibiotics does not appear to make a difference in infection rates. Risk of infection using a semi-sterile draping technique was safe and comparable to a full preparation and draping technique when used in CRPP of supracondylar fractures. Surgical supply cost was $80.72 and 108.24$, respectively, for the semi-sterile and full preparation and draping groups. Mean preparation-to-incision time for the semi-sterile group was 2.4☒.0 minutes and the full preparation and draping group was 9.9 ±4.2 minutes (p <0.001). The infection found received pre-operative antibiotics. Pre-operative antibiotics (Cefazolin) were administered to 76/168 (23%) patients in the full preparation and draping group and 0/168 (0%) in the semi-sterile group. Of the 336 patients, 1/168 (0.1%) in the full preparation and draping group developed an infection compared to 0/168 (0%) patients in the semi-sterile group. ![]() Infection rates, pre-operative antibiotic administration, preparation-to-incision time and cost in semi-sterile draping versus full preparation and draping techniques were compared. This study is a comparison of infection rates, pre-operative antibiotic administration, cost and surgical time between techniques.Ī retrospective chart review of 336 pediatric patients with supracondylar fractures repaired with CRPP at our institution was completed between January 2014 and April 2018, 168 per technique. Debate exists whether full preparation and draping is safer than semi-sterile technique in regards to infection risk and the utility of pre-operative antibiotics. Semi-sterile and full preparation and draping techniques are commonly used in closed reduction percutaneous pinning (CRPP) of supracondylar fractures.
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