Late results in supracondylar humeral fractures in children

✍ Scribed by E. Wilppula; G. Bakalim

• Publisher: Springer
• Year: 1985
• Tongue: English
• Weight: 461 KB
• Volume: 104
• Category: Article
• ISSN: 1434-3916
• DOI: 10.1007/bf00449952

✦ Synopsis

The end results of supracondylar humeral fractures in 151 children after an average follow-up period of 15 years are presented The relationship between the carrying angle and the functional result was analyzed A deformity of the carrying angle was not felt by the patients to be a cosmetic handicap, and the functional results were not problematic. However, the least satisfactory subjective results in the series were associated with a decrease of the carrying angle by at least 10 °and with a significant proportion of the limitations of movement of the elbow joint.

Zusammenfassung

Es werden die Spatresultate von 151 suprakondylaren Humerusfrakturen bei Kindern nach durchschnittlich 15 jihriger Beobachtung dargestellt Beurteilt wurde die Beziehung des Tragewinkels zum funktionellen Resultat Festgestellte Tragewinkelanderungen wurden von den Patienten kosmetisch als nicht st 6 rend empfunden und funktionell waren die Ergebnisse fast problemlos Die subjektiv ungiinstigsten Resultate und ein bedeutender Teil der Falle mit eingeschrankter Ellenbogenbeweglichkeit waren jedoch mit einer Verminderung des Tragewinkels um wenigstens 10 °verbunden.

cases results from a change of the carrying angle, may be disfiguring to a degree constituting an indication for corrective osteotomy (King and Secor 1951 ; French 1959 ; Amspacher and Messenbaugh 1964 ; Langenskild and Kivilaakso 1967).

Reports on end results of supracondylar humeral fracture in children are mostly based on relatively short follow-up periods In the present study followup comprised the entire posttraumatic growth period The functional end results the significance of a possible deformity are analyzed.