Supracondylar Fractures of the distal humerus - Bscos.com
Supracondylar Fractures of the distal humerus - Bscos.com
Supracondylar Fractures of the distal humerus - Bscos.com
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Conclusions : Areas <strong>of</strong> agreement (>50%)<br />
Gartland 3 Fracture:<br />
• MUA, K-wiring and POP<br />
• Crossed K-wires<br />
• Medial wire through an incision<br />
Ulnar nerve palsy:<br />
• Explore if detected within 24h<br />
• Expectant Mx if detected at 4/52<br />
Operate ASAP if:<br />
• Absent radial pulse<br />
• AIN palsy<br />
Manage <strong>the</strong> pink, perfused hand expectantly<br />
Accept sagittal plane deformity ra<strong>the</strong>r than open reduction<br />
Delay to closed reduction:<br />
• Does not increase <strong>com</strong>plications<br />
• Increases difficulty <strong>of</strong> CR<br />
• Makes OR more likely
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