Lesiones nerviosas agudas en fracturas supracondileas del húmero en niños. Rev Mex Ortop Ped ; 1 (2). Language: Español References: Page: Presentación del tema: “Fracturas supracondileas complejas del humero”— . 26 niños remitidos a este centro por mano rosada sin pulso con seguimiento. Clasificación de las fracturas de Müller AO. Placas en puente sobre la conminución. Atornillado transversal simple o placa.
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Fracturas supracondileas complejas del humero
J Bone Joint Surg-Br ; A technique of closed reduction and report of initial results. Patterns of pediatric supracondylar humerus fractures. In 10 cases vascular impairment or unsatisfactory reduction necessitated open exploration. Aqui sale la manobra de reduccion de las de flexion.
The authors recommend exploration if signs of ischemia are present. A mini-open procedure is recommended for the ulnar Kirschner wire K-wire to prevent iatrogenic ulnar nerve injury.
Percutaneous pinning provided the highest number of good results and is recommended as the treatment of choice for most fractures. Tomar hueso suficiente en ambos fragmentos. Effect of distal humeral varus deformity on strain in the lateral ulnar collateral ligament and ulnohumeral joint stability. The Baumann angle was evaluated in normal children. She was treated non-operatively 3 weeks in a cast.
J Pediatr Orthop ; 22 2: After exploration and nerve decompression, 3 fully recovered, 2 partially recovered and one patient had no recovery. Crossed pin fixation of displaced supracondylar humerus fractures in children. The brachial artery nlos directly damaged or transected and underwent saphenous vein graft repair in 3 cases, and was entrapped in the fracture and dissected free in 4 cases.
Clin Orthop Rel Res ; Manipulation of pediatric supracondylar fractures of humerus in prone position under general anesthesia. Normal characteristics of the Baumann humerocapitellar angle: Corrective osteotomy of the distal humerus resolved these problems.
No significant differences in complication rates were identified. Skeletal traction, however, provided acceptable results in some patients who had significant soft-tissue swelling. To determine if a degree of rotational remodelling is possible in supracondylar fractures in children and influential suparcondileas. Subscribe to our Newsletter.
Pooled data from 5, fracuras and 5, fractures was used in this study. J Hand Surg-Am ; Six cases of lateral condylar fracture of the humerus in children with preexisting cubitus varus due to prior elbow fracture are presented.
Between anddisplaced fractures were treated by operative means.
The author recommends exploration rather than simple pin removal. The other 6 perfused and pulseless pts who never had a documented return of pulse suffered no known ill effects of their injury. Traditional review paper of the pulseless yet perfused hand.
The Journal of Hand Surgery ftacturas 24A 4: Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity.
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Fracturas supracondileas complejas del humero – ppt descargar
Delayed treatment of type 3 supracondylar humerus fractures in children. Complications and timing of follow-up after closed reduction and percutaneous pinning of supracondylar humerus fractures: You can change the settings or obtain more information by clicking here.
After closed reduction and percutaneous K-wire fracfuras of displaced extension supracondylar fractures, vascular safety is enhanced by extending the elbow and supinating the forearm. El articulo reporta que con a literatura disponible no es vaible defnir cual tecnica es mas segura y que se necesitaria un estudio prospectivo con al menos pts para poder definir las diferencias en las ratas de complicacion entre las tecnicas.
Print Send to a friend Export reference Mendeley Statistics. Fourteen of these 17 children recovered pulse palpable after reduction and stabilization of their fractures.
The authors describe excellent results in 49 type III fractures after all were treated with crossed K wire fixation and all had a medial incision to place the medial K wire.
An aid in assessment of supracondilwas fractures. The authors believe pre-reduction arteriography is not indicated in these injuries. Tardy ulnar nerve palsy caused by cubitus varus deformity. March Pages The pulseless pink hand after supracondylar fracture of the humerus in children: J Pediatr Orthop ; 11 2: Eur J Vasc Endovasc Surg ; Another 2 of 9 pts had satisfactory perfusion fracyuras no immediate palpable pulse after CRPP surgery.
Despite exploration, vascular repair, and fasciotomy, he ultimately developed Volkmann’s ischemic contracture. Neurologic complications after K-wire fixation of supracondylar humerus fractures in children. Their average carrying angle was negative 2 degrees or a Bauman angle of approximately 92 degrees.
The effectiveness of physiotherapy after supeacondileas treatment of supracondylar humeral fractures in children.