Differential treatment for complicated metaphyseal fractures of the distal humerus in children
Keywords:transcondylar and supracondylar fractures, humerus, pediatric patients
AbstractBackground. The purpose was to optimize the diagnosis and treatment in the affected children with complicated transcondylar and supracondylar fractures of the humerus with the help of the developed protocol scheme of providing medical assistance to the patients with transcondylar and supracondylar fractures of the humerus. Materials and methods. The retrospective analysis of the treatment of 255 patients at the Lviv City Children’s Hospital for the period of 2013–2017 is the basis of our work. Results. The analysis of treatment results indicated that in the first group complications were noted in 21.0 % of cases, and in the second group — only in 9.1 %. Among the patients of the first group, anatomical complications were detected in 38.4 % of children, and in the second group they were not present at all. Functional complications also prevailed in the first group, they were found twice as often than in the second group. The period of inpatient treatment in the first group was 9.2 ± 0.5 days, while in the second group it was 6.5 ± 0.4 days. Conclusions. The introduction of a unified protocol for the treatment of transcondylar and supracondylar fractures of the humerus in pediatric patients has significantly improved both the anatomical and functional results of the treatment.
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