Study finds, Importance of Optimal timing for Surgical treat
Researchers aimed to determine the ideal surgical timing in the first 24 hours after admission to the hospital of pediatric supracondylar humerus fractures (SHF) that do not require emergent intervention.

Patients who underwent surgery due to pediatric Gartland type 3 SHFs were evaluated retrospectively. A total of 150 Gartland type 3 were included. The effect of early (12 hours) or late surgical interventions, daytime or night-time surgeries, working or non-working hour surgeries on operative parameters were evaluated in pediatric SHFs.

Results:
--Early (less than 12 hours) or late (more than 12 hours), daytime or nighttime, working or non-working hour surgeries were found to be similar in Gartland type 3 patients regarding early postoperative reduction quality, duration of surgery, open reduction rate.

--Mean times passed from first admission to hospital until surgery were longer in working hour, late (more than 12 hours) and daytime surgery groups than non-working hour, early (less than 12 hours) and night-time surgery groups.

Although delaying surgery until working hours appears to lengthen the time until surgery in pediatric Gartland type 3 SHF patients who do not require emergent intervention such as open fractures, neurovascular impairment, or compartment syndrome, there may not be a time interval that makes a difference for the patients if surgery is performed within the first 24 hours.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02638-5
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