Mid-term results of pediatric vascular injured supracondylar humerus fractures and surgical approach

Saglam Y., Tunali O., Akgul T., Dikmen G., Aksoy M., Dikici F.

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, vol.23, no.6, pp.572-578, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 6
  • Publication Date: 2014
  • Doi Number: 10.1097/bpb.0000000000000097
  • Journal Name: JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.572-578
  • Keywords: brachial artery, pink pulseless hand, supracondylar fracture of the humerus, vascular injury, PINK PULSELESS HAND, MEDIAN NERVE, CHILDREN, COMPLICATIONS, MANAGEMENT, ISCHEMIA, ELBOW
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

The purpose of this study was to describe our experience with poorly perfused hands after supracondylar fracture of the humerus (SFH) in children and to present mid-term outcomes of a single trauma center. This is a retrospective analysis of SFH patients with vascular injuries, conducted from 2003 to 2012. Nine patients (2.1% of all SFH patients) underwent vascular reconstruction with no hand perfusion after adequate reduction and fixation at a mean age of 8.3 years (+/- 1.8, range 4-12 years). No amputation was needed, and satisfactory elbow and hand functions were obtained. Immediate close anatomic reduction and pinning with re-evaluation of hand perfusion is mandatory for SFH patients with suspected vascular injury before vascular exploration. (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.