Cargando…

Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study

INTRODUCTION: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal. METHODS: A descriptive cro...

Descripción completa

Detalles Bibliográficos
Autores principales: Rokaya, Poojan Kumar, Karki, Dhan Bahadur, Rawal, Mangal, Limbu, Deoman, Menyangbo, Suryaman, Devkota, Harihar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580320/
https://www.ncbi.nlm.nih.gov/pubmed/32347820
http://dx.doi.org/10.31729/jnma.4869
_version_ 1783598765771325440
author Rokaya, Poojan Kumar
Karki, Dhan Bahadur
Rawal, Mangal
Limbu, Deoman
Menyangbo, Suryaman
Devkota, Harihar
author_facet Rokaya, Poojan Kumar
Karki, Dhan Bahadur
Rawal, Mangal
Limbu, Deoman
Menyangbo, Suryaman
Devkota, Harihar
author_sort Rokaya, Poojan Kumar
collection PubMed
description INTRODUCTION: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal. METHODS: A descriptive cross sectional study was conducted at Jumla, Karnali after Institutional Review Committee approval. Operating room notes from 15 May 2017 to 16 November 2019 were retrieved to gather the following information: patients address, age, sex, side, injury mechanism, displacement, neurovascular injury, concurrent injuries, initial management by traditional bone setters, time between injury and surgery, operative technique. Data analysis was done using Statistical Package for Social Sciences version 20. RESULTS: Left side predominated with 88 (63.7%) and extension type was common in 135 (97.8%). Thirteen (9.4%) patients were initially managed by traditional bonesetters. A total of 138 children underwent operative fixation with mean age of 7.47 years and gender ratio of 2:1 boy to girl. Fall from cliff, ladders and rooftops were the prevailing cause of injury 73 (52.8%). Average time between injury and surgery was 5.2 days. Closed reduction was done in 100 (72.4%) patients whereas open reduction was necessary in 38 (27.5%) patients. CONCLUSIONS: Closed extension type pediatric supracondylar fracture was common in this study. Fall from cliff, rooftop and ladder are the major cause of fracture. Delayed presentation and initial management of the fracture by the traditional bonesetters makes supracondylar fracture more challenging in resource limited setting like ours.
format Online
Article
Text
id pubmed-7580320
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Journal of the Nepal Medical Association
record_format MEDLINE/PubMed
spelling pubmed-75803202020-11-30 Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study Rokaya, Poojan Kumar Karki, Dhan Bahadur Rawal, Mangal Limbu, Deoman Menyangbo, Suryaman Devkota, Harihar JNMA J Nepal Med Assoc Original Article INTRODUCTION: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal. METHODS: A descriptive cross sectional study was conducted at Jumla, Karnali after Institutional Review Committee approval. Operating room notes from 15 May 2017 to 16 November 2019 were retrieved to gather the following information: patients address, age, sex, side, injury mechanism, displacement, neurovascular injury, concurrent injuries, initial management by traditional bone setters, time between injury and surgery, operative technique. Data analysis was done using Statistical Package for Social Sciences version 20. RESULTS: Left side predominated with 88 (63.7%) and extension type was common in 135 (97.8%). Thirteen (9.4%) patients were initially managed by traditional bonesetters. A total of 138 children underwent operative fixation with mean age of 7.47 years and gender ratio of 2:1 boy to girl. Fall from cliff, ladders and rooftops were the prevailing cause of injury 73 (52.8%). Average time between injury and surgery was 5.2 days. Closed reduction was done in 100 (72.4%) patients whereas open reduction was necessary in 38 (27.5%) patients. CONCLUSIONS: Closed extension type pediatric supracondylar fracture was common in this study. Fall from cliff, rooftop and ladder are the major cause of fracture. Delayed presentation and initial management of the fracture by the traditional bonesetters makes supracondylar fracture more challenging in resource limited setting like ours. Journal of the Nepal Medical Association 2020-03 2020-03-31 /pmc/articles/PMC7580320/ /pubmed/32347820 http://dx.doi.org/10.31729/jnma.4869 Text en © The Author(s) 2018. http://creativecommons.org/licenses/by/4.0/ This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rokaya, Poojan Kumar
Karki, Dhan Bahadur
Rawal, Mangal
Limbu, Deoman
Menyangbo, Suryaman
Devkota, Harihar
Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title_full Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title_fullStr Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title_full_unstemmed Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title_short Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study
title_sort pattern of pediatric supracondylar fracture operated at a rural teaching hospital of nepal: a descriptive cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580320/
https://www.ncbi.nlm.nih.gov/pubmed/32347820
http://dx.doi.org/10.31729/jnma.4869
work_keys_str_mv AT rokayapoojankumar patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy
AT karkidhanbahadur patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy
AT rawalmangal patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy
AT limbudeoman patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy
AT menyangbosuryaman patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy
AT devkotaharihar patternofpediatricsupracondylarfractureoperatedataruralteachinghospitalofnepaladescriptivecrosssectionalstudy