Initial reduction of pediatric type II supracondylar humerus fractures does not guarantee a good outcome
Anıl Özgür1
, Muhammet Bozoğlan2, Deniz Çankaya1, Ali Turgut2
1Department of Orthopedics and Traumatology, Ankara Gülhane Training and Research Hospital, Ankara, Turkey
2Department of Orthopedics and Traumatology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
Keywords: Closed reduction, loss of reduction, supracondylar humerus fracture, surgery
Abstract
Pediatric supracondylar humerus fractures are important for orthopedic surgeons because of the high incidence, the accompanying neurovascular injuries, the lack of consensus on the choice of treatment in Gartland type 2 fractures where conservative and surgical treatment options are available, and catastrophic complications. We present the case of a two-year-old male, initially diagnosed as Gartland type 2 and received conservative treatment, which then went on to displacement, necessitating surgical treatment. In conclusion, although a good reduction is achieved with closed reduction and conservative treatment, it should be kept in mind that fracture reduction may be impaired in fractures above the olecranon fossa , and weekly X-ray follow-up should be performed. It should be noted that surgical treatment of these fractures after one or two weeks after the occurrence will be more difficult than treating at injury time.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.