Irish Child Health Database - Peer Reviewed Papers
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"Dorgan's" percutaneous lateral cross-wiring of supracondylar fractures of the humerus in children
Published in:
J Pediatr Orthop, Vol: 24, Page: 376-9
Publication Date:
2004 Jul-Aug
Aims & Objectives:
This study examined "Dorgan's" percutaneous lateral cross-wiring of supracondylar fractures of the humerus in children
Abstract:
The preferred treatment of displaced supracondylar humeral fractures in children is closed reduction and percutaneous pinning. Cross-wiring techniques are biomechanically superior to parallel lateral wiring techniques. The purpose of this study was to review the authors' experience with a novel cross-wiring technique performed entirely from the lateral side. Twenty children with supracondylar fractures who were manipulated and wired using a lateral cross-wiring technique were reviewed. Patient demographics, mechanism of injury, fracture classification, and associated neurovascular injuries were noted. All fractures were reduced, cross-wired from the lateral side, and rested in an above-elbow slab. Wires were removed at 4 weeks. Range of motion and carrying angle were measured at follow-up. Lateral cross-wiring of supracondylar fractures represents a real option in the treatment of these injuries, offering the biomechanical advantages of traditional cross-wiring without the risk of ulnar nerve injury.
Authors:
Study Type:
Study Papers » Case Series Study » Descriptive Studies - Without a comparision
Categories:
supracondylar fractures of the humerus
International Classification:
Injury, poisoning and certain other consequences of external causes - fractures
Keywords:
- Bone Wires
- Child
- Child, Preschool
- Female
- Fracture Fixation, Internal/ methods
- Humans
- Humeral Fractures/radiography/ therapy
- Male
- Retrospective Studies
Geography:
Republic of Ireland (Limerick)