Slongo’s external fixation method is more ideal for Older ch
Close reduction and percutaneous pinning are routine surgical treatments for supracondylar humeral fractures in children. In order to treat supracondylate fracture, an external fixation is commonly performed for older children in light of the necessity for increased fixation strength and greater risk of joint stiffness. The objective of this study was for the treatments of supracondylar humeral fractures in older children to compare the efficacy of lateral entry pin and Slongo's external fixation.

Children older than 8 years who underwent surgery for supracondylar humeral fractures were assessed. One group (n = 36) underwent internal fixation and percutaneous pinning with three lateral Kirschner wires, and the other group (n = 32) underwent Slongo’s external fixator surgery.

The demographic data, operation duration, number of fluoroscopies, and fracture healing time were compared between both groups. The elbow joint function was evaluated 6 months after the surgery on the basis of fracture healing time, lifting angle, elbow joint range of motion (ROM), and Flynn score.

Results;
--There was no significant difference between the two patient groups in terms of the demographic parameters.

--Compared to external fixation surgery, Kirschner wire surgery required shorter duration and fewer fluoroscopies.

--Nevertheless, the fracture healing time was significantly less, and the elbow ROM and Flynn scores were higher in the external fixator group compared to the Kirschner wire fixation group.

--There was one case of secondary fracture displacement in the Kirschner wire group and one of pin tract infection in the external fixator group. No other iatrogenic injuries or complications were observed.

The study finds that an external Slongo fixator for the treatment of supracondylar fractures of kids above 8 years is an alternate solution because it achieves a higher fixing strength and a lower risk of joint stiffness in the early restoration of joint movement.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02541-z
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