Delayed open reduction for supracondylar fractures of the humerus

✍ Scribed by G. M. Lal; S. Bhan

• Publisher: Springer
• Year: 1991
• Tongue: English
• Weight: 690 KB
• Volume: 15
• Category: Article
• ISSN: 0341-2695
• DOI: 10.1007/bf00192291

✦ Synopsis

Twenty children with grade I V supracondylar fractures of the humerus had an open reduction 11 to 17 days after injury. The delay was due to swelling and blisters. Most patients recovered a useful range of movement and there were no complications. A posterior approach with V-Y plasty of the triceps makes it easy to align the fragments and reduces the incidence of cubitus varus. Apprehension about the risk of increasing the extent of myositis ossifieans is unfounded.

R~sum& Vingt enfants prbsentant une fracture supra-condylienne de l'hum&us de degrd I V ont ktd trait& par rbduction sanglante 11 d 14 jours aprks l'accident. Le dOlai Otait dfi d l'oedkme et aux phlyctOnes. La plupart des opdrds ont rbcupbrO une mobilitb utile et n'ont pas eu de complications. Un abord post&ieur avec plastie en V-Y du triceps facilite l'alignement des fragments et diminue la frdquence du cubitus varus. La crainte d'augmenter le risque de myosite ossifiante n'est pas justifide.