Supracondylar Fractures of the distal humerus - Bscos.com

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! Sibinski et al. JBJS-Br 2006 Timing ! Treatment of displaced, uncomplicated fractures can be early or delayed (>12h) ! No difference in OR or complications ! Walmsley et al. JBJS-Br 2006 ! Delay increases the need for open reduction… ! Ramachandran et al. JBJS-Br 2008 ! excessive delay in treatment may play an important role in the evolution of a compartment syndrome… particularly important at a time when there is a trend towards non-urgent treatment of such fractures
Crossed vs Lateral-only ! Kocher et al, JBJS-A. 2007: 706-712 ! LEVEL -1 RCT!!!! ! No significant differences (inc ulnar N injury) ! Omid, Reza, Skaggs JBJS-A 2008: Underpowered! ! Babal et al JPO 2010: ! Meta-analysis of nerve injury ! medial pinning carries the greater overall risk of nerve injury ! Brauer et al JPO 2007 ! Systematic r/v comparing crossed with lateral ! Nerve injury 1.84 times higher in crossed ! Crossed more stable (loss of reduction 0.58 times lower) ! But if prospective studies only – no differences
Page 1 and 2: Supracondylar Fractures How of the
Page 3: Pink, pulseless ! Griffin et al, Eu
Page 7 and 8: What is a man to do?
Page 9 and 10: Methods ! 10 item single response q
Page 11 and 12: “We asked a hundred people….”
Page 13 and 14: What is your preferred definitive t
Page 15 and 16: What is your preferred configuratio
Page 17 and 18: Delay to closed reduction……..!
Page 19 and 20: Delay to closed reduction……..!
Page 21 and 22: A 5 year old, otherwise fit and hea
Page 23 and 24: 100 80 60 40 20 0 Which action woul
Page 25 and 26: Conclusion: Areas of controversy K-
Page 27: Implications for those in minority?

Supracondylar Fractures of the distal humerus - Bscos.com

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