Unable to obtain an acceptable alignment of the fracture fragments using closed reduction.However, there are supracondylar humerus fractures that necessitate an open reduction.Īn open reduction is indicated in the following situations: The gold standard in the treatment of displaced pediatric supracondylar humerus fractures is closed reduction with percutaneous pinning. Question 1: In children with a supracondylar humerus fracture, when should an open reduction be performed instead of a closed reduction to ensure optimal outcomes? In a child who presents with a supracondylar humerus fracture without a palpable pulse, when should a vascular, open exploration be performed to optimize outcomes?.In a child whose supracondylar humerus fracture needs an open reduction, which surgical approach is best to optimize outcomes?.In children with a supracondylar humerus fracture, when should an open reduction be performed instead of a closed reduction to ensure optimal outcomes?.Her hand is warm and well‐perfused with brisk capillary refill. She has no skin puckering and the injury is closed.In the Emergency Department, she is cooperative with exam and has no neurologic deficits. A five‐year‐old girl sustains a left supracondylar humerus fracture after a fall from the monkey bars.Ravi Brar MD MPH 1, David Skaggs MD MMM 2, and Sanjeev Sabharwal MD MPH 1ġ UCSF Benioff Children’s Hospital, Oakland, CA, USAĢ Department of Orthopaedic Surgery, Children’s Hospital Los Angeles, Los Angeles, CA, USA
0 Comments
Leave a Reply. |