Reduction and stabilization of acute, displaced supracondylar fractures of distal humerus in children using the Sauvé-Kapandji technique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-09

AUTHORS

Muhammad Zahid Saeed, Ioannis Aktselis, H. A. Mann, K. H. Sunil Kumar, Nicholas Goddard

ABSTRACT

Paediatric displaced supracondylar fractures of the humerus are unstable injuries and if not reduced and stabilized in optimal position can lead to serious residual deformity. We report the results of reduction and stabilization of displaced supracondylar fractures using the Sauvé-Kapandji technique. Eight males and five females, age ranging from 2 to 8 years with acute extension-type displaced supracondylar fractures of distal humerus, treated between January 2009 and March 2011 in our department were included in the study. The fracture was reduced using the Sauvé-Kapandji technique. The first wire was passed posteriorly through the fracture site under fluoroscopic control and was used to reduce the fracture. The fracture was then stabilized with two or three cross Kirschner wires, passed percutaneously under X-ray control. Each patient was followed up for 2 months to 1 year. There was clinical and radiological evidence of healing at 6 weeks postoperatively in all cases. One patient had neurapraxia of anterior interosseous nerve and made full recovery. All patients except for one had full range of movements at the elbow joint at 6 weeks. One patient had loss of 15° extension but gained full range of movements at 1-year review. All patients had normal carrying angle, and no gunstock deformity was noted. All patients had normal function at the elbow joint at the final follow-up visit. The management of acute, displaced supracondylar fractures of the humerus in children using the Sauvé-Kapandji technique has shown excellent results in terms of healing of the fracture and functional outcome. We recommend this technique as an alternative in cases of encountering difficulties in fracture reduction prior to proceed with open reduction. More... »

PAGES

261-266

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12570-015-0309-z

DOI

http://dx.doi.org/10.1007/s12570-015-0309-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031234477


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