Delay increases the need for open reduction of type III supracondylar fractures of the humerus

P J Walmsley, M B Kelly, J E Robb, I H Annan, D E Porter

Research output: Contribution to journalArticlepeer-review

63 Citations (Scopus)

Abstract

Recent reports have suggested that a delay in the management of type-III supracondylar fractures of the humerus does not affect the outcome. In this retrospective study we examined whether the timing of surgery affected peri-operative complications, or the need for open reduction. There were 171 children with a closed type-III supracondylar fracture of the humerus and no vascular compromise in our study. They were divided into two groups: those treated less than eight hours from presentation to the Accident and Emergency Department (126 children), and those treated more than eight hours from presentation (45 children). There were no differences in the rate of complications between the groups, but children waiting more than eight hours for reduction were more likely to undergo an open reduction (33.3% vs 11.2%, p < 0.05) and there was a weak correlation (p = 0.062) between delay in surgery and length of operating time. Consequently, we would still recommend treating these injuries at the earliest opportunity.
Original languageEnglish
Pages (from-to)528-530
Number of pages3
JournalJournal of Bone and Joint Surgery
Volume88B
Issue number4
DOIs
Publication statusPublished - Apr 2006

Keywords

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Fracture fixation
  • Humans
  • Humeralfractures
  • Infant
  • Male
  • Postoperative complications
  • Retrospective studies
  • Time factors
  • Treatment outcome

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