Surgical management of supracondylar humeral fractures: pediatric orthopedic surgeons versus orthopedic and trauma surgeons?

Authors:Razi Altarawneh, Firas Sulieman, Ahmad Almarzouq, Fadi AlRousan, Mohammad Al-Alwan
Int J Biol Med Res. 2020; 11(1): 6920-6923  |  PDF File

Abstract

Objective: The aim of this study is to compare the results of surgical management of supracondylar humeral fractures in children with Gartland Type II and Type III; to compare the results between pediatric orthopedic surgeons and orthopedic and trauma surgeons in other sub-specialties. Method: This is a retrospective study between Jan 2010 -Dec 2013 on patients with Gartland classification type II, III and underwent surgical management of supracondylar humeral fractures, data collection of the most common complications using Patient file Records and PACS system archives for pre, post-operative and follow up X-rays. Results: A total of 156 children had enough data to be included in this study. A follow up period of 5 months to 42 months was documented. 41.6% of patients had Gartland type II and 58.3% Gartland type III. Pediatrics surgeons performed 29.49% of the surgeries and 70.51% by orthopedic surgeons. Pin tract infection was 8.6% with pediatric surgeons compared to 7.3% with orthopedic surgeons. Cubitus varus was 4.3% with pediatric surgeons compared to 7.3% with orthopedic surgeons. No cases of cubitus valgus with pediatric surgeons, compared to 1.8% with orthopedic surgeons. We had only 1 child with post-operative Ulnar nerve injury with orthopedic surgeons that resolved completely after 3 weeks of pin removal. Conclusion: We conclude that there is not a significant difference between a Pediatric orthopedic surgeon and an orthopedic and trauma surgeon in the surgical management of supracondylar humeral fractures Grade II and III.