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Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children

BACKGROUND: Pediatric supracondylar humerus fracture (SHF) is a complicated injury which can result in severe sequela. Nowadays, closed reduction and percutaneous pinning (CRPP) is the most popular treatment. AIM: This study had two aims (1) checking the result of treating pediatric SHF patients wit...

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Autores principales: Trung, Dung Tran, Van, Nam Le, Huu, Vien Nguyen, Nguyen, Chinh Dao, Ngoc, Ha Nguyen, Nga, Vu Thi, Dinh, Toi Chu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Republic of Macedonia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084034/
https://www.ncbi.nlm.nih.gov/pubmed/32215062
http://dx.doi.org/10.3889/oamjms.2019.355
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author Trung, Dung Tran
Van, Nam Le
Huu, Vien Nguyen
Nguyen, Chinh Dao
Ngoc, Ha Nguyen
Nga, Vu Thi
Dinh, Toi Chu
author_facet Trung, Dung Tran
Van, Nam Le
Huu, Vien Nguyen
Nguyen, Chinh Dao
Ngoc, Ha Nguyen
Nga, Vu Thi
Dinh, Toi Chu
author_sort Trung, Dung Tran
collection PubMed
description BACKGROUND: Pediatric supracondylar humerus fracture (SHF) is a complicated injury which can result in severe sequela. Nowadays, closed reduction and percutaneous pinning (CRPP) is the most popular treatment. AIM: This study had two aims (1) checking the result of treating pediatric SHF patients without neurovascular injury by CRPP under image intensifier, and (2) analysing neurovascular complications of CRPP in treating these patients. METHODS: We conducted a research on 42 patients from February 2018 to March 2019. The age of patients ranged from 3 to 11 years old, with a mean of 5. There was a male predominance with a male / female ratio of 3/1. The average duration of the procedure was 46 minutes, and there was no failed case. RESULTS: Result evaluation based on Flynn criteria (1974): 85.74 % excellent, 9.5% good, 2.38% fair, and 2.38% poor. There was 1 patient how got ulnar nerve injury complication after medial-lateral crossed pinning, making up 2.38% of all cases. This case was a late admission – 3 days after being injured – and the elbow was badly swollen, so locating the medial condyle for pin placement was very problematic, this the ulnar nerve could be damaged during K-wire pinning. The K-wires are removed after 4 weeks. CONCLUSION: CRPP under image intensifier in treating pediatric supracondylar humerus fracture is an effective treatment and with good treatment result.
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spelling pubmed-70840342020-03-25 Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children Trung, Dung Tran Van, Nam Le Huu, Vien Nguyen Nguyen, Chinh Dao Ngoc, Ha Nguyen Nga, Vu Thi Dinh, Toi Chu Open Access Maced J Med Sci Basic and Clinical Medical Researches in Vietnam BACKGROUND: Pediatric supracondylar humerus fracture (SHF) is a complicated injury which can result in severe sequela. Nowadays, closed reduction and percutaneous pinning (CRPP) is the most popular treatment. AIM: This study had two aims (1) checking the result of treating pediatric SHF patients without neurovascular injury by CRPP under image intensifier, and (2) analysing neurovascular complications of CRPP in treating these patients. METHODS: We conducted a research on 42 patients from February 2018 to March 2019. The age of patients ranged from 3 to 11 years old, with a mean of 5. There was a male predominance with a male / female ratio of 3/1. The average duration of the procedure was 46 minutes, and there was no failed case. RESULTS: Result evaluation based on Flynn criteria (1974): 85.74 % excellent, 9.5% good, 2.38% fair, and 2.38% poor. There was 1 patient how got ulnar nerve injury complication after medial-lateral crossed pinning, making up 2.38% of all cases. This case was a late admission – 3 days after being injured – and the elbow was badly swollen, so locating the medial condyle for pin placement was very problematic, this the ulnar nerve could be damaged during K-wire pinning. The K-wires are removed after 4 weeks. CONCLUSION: CRPP under image intensifier in treating pediatric supracondylar humerus fracture is an effective treatment and with good treatment result. Republic of Macedonia 2019-10-15 /pmc/articles/PMC7084034/ /pubmed/32215062 http://dx.doi.org/10.3889/oamjms.2019.355 Text en Copyright: © 2019 Dung Tran Trung, Nam Le Van, Vien Nguyen Huu, Chinh Dao Nguyen, Ha Nguyen Ngoc, Vu Thi Nga, Toi Chu Dinh. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)
spellingShingle Basic and Clinical Medical Researches in Vietnam
Trung, Dung Tran
Van, Nam Le
Huu, Vien Nguyen
Nguyen, Chinh Dao
Ngoc, Ha Nguyen
Nga, Vu Thi
Dinh, Toi Chu
Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title_full Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title_fullStr Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title_full_unstemmed Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title_short Closed Reduction and Percutaneous Pinning for Supracondylar Fractures of Humerus in Vietnamese Children
title_sort closed reduction and percutaneous pinning for supracondylar fractures of humerus in vietnamese children
topic Basic and Clinical Medical Researches in Vietnam
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084034/
https://www.ncbi.nlm.nih.gov/pubmed/32215062
http://dx.doi.org/10.3889/oamjms.2019.355
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