Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective?
Aim: indications for open surgery are very limited in supracondylar humerus fractures (SCHFs). In our study, we aimed to examine whether the patient’s fracture type, waiting time of the patient before the operation, and the experience of the surgeon are effective on the treatment decision for open s...
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Alanya Alaaddin Keykubat University
2023-12-01
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| Series: | Acta Medica Alanya |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/3561909 |
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| author | Bahattin Kemah Muhammed Enes Karatas Murat Taşcı |
| author_facet | Bahattin Kemah Muhammed Enes Karatas Murat Taşcı |
| author_sort | Bahattin Kemah |
| collection | DOAJ |
| description | Aim: indications for open surgery are very limited in supracondylar humerus fractures (SCHFs). In our study, we aimed to examine whether the patient’s fracture type, waiting time of the patient before the operation, and the experience of the surgeon are effective on the treatment decision for open surgical method in our SCHF patients treated with open reduction.Methods: A group of pediatric patients treated with open reduction for SCHF between the years of 2010 and 2022 were examined for our study. Trauma mechanism, type of fracture, time until operation, neurovascular injuries and years of experience of the surgeons were retrospectively reviewed.Results: A total of 110 patients were included in the study. The mean age was 5.7 years. Nine patients were flexion-type SCHF. According to the Gartland classification, 19 patients were Type II and 82 patients were Type III. Ninety-four patients were operated in the first 24 hours, 16 patients were operated after 24 hours. There was no statistical correlation between the surgeons’ experience or time until operation and the type of the fractures. Patients with flexion type fractures were significantly older than the other patients. Conclusion: Extension Type III fractures are often require open surgery regardless of the surgeon's experience and waiting time for surgery. Regardless of the surgeon's years of experience and the type of the fracture, some fractures cannot be treated with closed reduction and require open reduction. |
| format | Article |
| id | doaj-art-0d51ea22b9e24e4a84aff8f003304bb3 |
| institution | Kabale University |
| issn | 2587-0319 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj-art-0d51ea22b9e24e4a84aff8f003304bb32025-08-20T03:53:22ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192023-12-017325425810.30565/medalanya.1396535727Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective?Bahattin Kemah0https://orcid.org/0000-0002-4795-4309Muhammed Enes Karatas1https://orcid.org/0000-0003-0995-0953Murat Taşcı2https://orcid.org/0000-0001-5391-7662UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTERUNIVERSITY OF HEALTH SCIENCES, İSTANBUL KARTAL DR. LÜTFİ KIRDAR HEALTH RESEARCH CENTERSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL ÜMRANİYE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜAim: indications for open surgery are very limited in supracondylar humerus fractures (SCHFs). In our study, we aimed to examine whether the patient’s fracture type, waiting time of the patient before the operation, and the experience of the surgeon are effective on the treatment decision for open surgical method in our SCHF patients treated with open reduction.Methods: A group of pediatric patients treated with open reduction for SCHF between the years of 2010 and 2022 were examined for our study. Trauma mechanism, type of fracture, time until operation, neurovascular injuries and years of experience of the surgeons were retrospectively reviewed.Results: A total of 110 patients were included in the study. The mean age was 5.7 years. Nine patients were flexion-type SCHF. According to the Gartland classification, 19 patients were Type II and 82 patients were Type III. Ninety-four patients were operated in the first 24 hours, 16 patients were operated after 24 hours. There was no statistical correlation between the surgeons’ experience or time until operation and the type of the fractures. Patients with flexion type fractures were significantly older than the other patients. Conclusion: Extension Type III fractures are often require open surgery regardless of the surgeon's experience and waiting time for surgery. Regardless of the surgeon's years of experience and the type of the fracture, some fractures cannot be treated with closed reduction and require open reduction.https://dergipark.org.tr/tr/download/article-file/3561909pediatric supracondylar humerus fracturesopen reductionsurgeon’s experiencetime until surgeryçocuk humerus suprakondil kırıklarıaçık redüksiyoncerrahın deneyimicerrahiye kadar geçen süre |
| spellingShingle | Bahattin Kemah Muhammed Enes Karatas Murat Taşcı Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? Acta Medica Alanya pediatric supracondylar humerus fractures open reduction surgeon’s experience time until surgery çocuk humerus suprakondil kırıkları açık redüksiyon cerrahın deneyimi cerrahiye kadar geçen süre |
| title | Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? |
| title_full | Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? |
| title_fullStr | Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? |
| title_full_unstemmed | Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? |
| title_short | Retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective? |
| title_sort | retrospective analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures are factors such as time until operation and surgeon s experience effective |
| topic | pediatric supracondylar humerus fractures open reduction surgeon’s experience time until surgery çocuk humerus suprakondil kırıkları açık redüksiyon cerrahın deneyimi cerrahiye kadar geçen süre |
| url | https://dergipark.org.tr/tr/download/article-file/3561909 |
| work_keys_str_mv | AT bahattinkemah retrospectiveanalysisofthedeterminingfactorsforopenreductioninpediatrichumerussupracondylarfracturesarefactorssuchastimeuntiloperationandsurgeonsexperienceeffective AT muhammedeneskaratas retrospectiveanalysisofthedeterminingfactorsforopenreductioninpediatrichumerussupracondylarfracturesarefactorssuchastimeuntiloperationandsurgeonsexperienceeffective AT murattascı retrospectiveanalysisofthedeterminingfactorsforopenreductioninpediatrichumerussupracondylarfracturesarefactorssuchastimeuntiloperationandsurgeonsexperienceeffective |