$supracondylar fracture of humerus$

#SUPRACONDYLAR FRACTURE OF HUMERUS SERIAL#
#SUPRACONDYLAR FRACTURE OF HUMERUS SKIN#

Also, deformities like cubitus varus or sometimes cubitus valgus may be associated. It can lead to post-traumatic arthritis of the elbow if there is articular surface malreduction. Malunion of the fracture can occur if the fracture unites in a non-anatomical position. Kirschner wire fixation remains a valid alternative in these situations. Lag screw osteosynthesis is recommended when performing open reduction due to its lower rates of malreduction and subsequent complications. Open reduction and internal fixation are indicated for Weiss type 3 and Song stage 5 fractures. Failing this, open reduction and internal fixation are needed.

#SUPRACONDYLAR FRACTURE OF HUMERUS SKIN#

This approach can prevent skin infections commonly associated with Kirschner wires, although they will require further surgery for their removal. Ĭannulated screws can be an option with similar outcomes. Removal typically occurs around 4 to 6 weeks. Wire removal can occur when there is clinical and radiological evidence of fracture healing. this can improve the range of movement and reduce the resulting bone spur. Using two Kirschner wires instead of three is recommended when stability is achieved. The main goal of surgical management is to reduce the articular surface anatomically. Closed reduction and percutaneous fixation are options where possible, mainly for Weiss type 2 and Song stage 2-4 fractures. When fracture displacement exceeds 2mm, operative management is necessary.

#SUPRACONDYLAR FRACTURE OF HUMERUS SERIAL#

Also, when there is a loss of reduction seen on serial radiographs, operative management is required. Generally, fractures with 2 mm and articular surface incongruency. Further immobilization for another two weeks may be indicated depending on fracture healing at this stage. Immobilization is advised for a minimum period of 4 weeks. Ĭonservative treatment will generally be indicated in less displaced fractures in an above-elbow cast. Stage 5 fractures have >2 mm displacement, are unstable, and have a rotation of the fracture fragment. Because the fractured fragment will frequently lie posterolaterally, an internal oblique view is often useful in detecting minimally displaced fractures (2 mm displacement, are unstable, and there is no rotation of the fracture fragment. Plain radiographs should be obtained, including anteroposterior, lateral, and internal oblique views of the affected elbow. This evaluation should include documentation of radial and ulnar pulses with nerve function (radial, ulnar, median, and anterior interosseous). Due to the nature of this injury, a full neurovascular assessment is crucial during the initial presentation.

$supracondylar fracture of humerus$

Supracondylar fracture of humerus