Should Postoperative X-Rays be done in Supracondylar Humerus Fractures after Pinning?
Journal Title: Orthopaedic Journal of M. P. Chapter - Year 2016, Vol 22, Issue 1
Abstract
Background: Most author advocates the need for early postoperative clinical and radiographic follow-up in operative treatment of completely displaced supracondylar fractures of the humerus in children but in central India specially rural population is there, for whom it is difficult to get weekly X-rays done. Therefore we decided to determine the necessity of postoperative x rays after k-wire fixation for the operative treatment of completely displaced supracondylar fractures of the humerus in children. Methods: 103 patients who underwent operative management of Gartland type III fractures at our institution from November 2012 to January 2016 were reviewed. Intraoperative C-arm images were compared with postoperative radiographs to identify changes in fracture alignment and k-wire placement. Results: A total of 103 patients (48 females, 55 males) with a mean age of 7.1 years (range, 3.1 to 12.0) were reviewed which were classified as type III. Fracture displacement or k-wire back out was seen in three patients (2.9%) at the first postoperative visit. None of these patients required further operative management. On statistical evaluation, no significant difference was seen in terms of time to first postoperative visit, days to k-wire removal, or average follow-up time. The overall complication rate was 7.76% (9/103) Conclusions: Fracture displacement and k-wire migration observed in postoperative radiographs after k-wire fixation of supracondylar humerus fractures have little effect on clinical management or long-term complication. Radiographs can therefore be delayed until the time of k-wire removal provided sufficient intraoperative stability was obtained.
Authors and Affiliations
Dr Raghvendra Chaubey
Keywords
Related Articles
- EP ID EP273030
- DOI -
- Views 77
- Downloads 0
Treatment of Unstable Intertrochanteric Femoral Fractures by Dynamic Hip Screw Vs Proximal Femoral Nailing
Background:Inter trochanteric fractures are increasing as the incidence of contributing conditions like osteoporosis, old age and trauma increases. Unstable fractures pose a challenge in management of these fractures. Mu...
Dislocation of metacarpophalangeal joint of bilateral index finger: A case report
Abstract: Occurrence of bilateral dislocation of metacarpophalangeal joint of index finger are very uncommon. Most of the dislocation are complex in nature and require surgical open reduction. The need for surgical reduc...
A Child presenting with Bilateral Tuberculous Osteomyelitis of Calcanei: A Case Report
Introduction:Osteoarticular tuberculosis represents 1.7-2% of all tuberculosis. The localization in the foot is rare and accounts for less than 10% of osteoarticular tuberculosis. The clinical observations of this case h...
Use of Double Bone Graft to Stabilize Prosthesis in Uncemented Partial Hip Replacement in Elderly Patients with Fracture Neck of Femur
Background: Partial hip replacement (cemented or uncemented) is the frequently done surgery in elderly patients with fracture neck of femur. Problems with cementing techniques are reported like increased infection rate a...
Basics of Medical Research
Literal meaning of Research as given in Cambridge English Dictionary, it is a detailed study of a subject especially in order to discover new information or new understanding .Research is a systemic approach to discover...