Supracondylar Humerus Fractures: Classification Based Treatment Algorithms.

Supracondylar humerus fractures are the most common fractures around the elbow in children between 4 and 10 years of age. The treatment of supracondylar humerus fractures can vary from conservative treatment to operative treatment depending on the fracture type. All around the world, the most common...

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Publicado en:Indian Journal of Orthopaedics Vol. 55; no. 1; pp. 68 - 81
Autores principales: Shah, Mudit, Agashe, Mandar Vikas
Formato: diagnostic images pictorial review tables/charts Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s43465-020-00285-2
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        atl: Supracondylar Humerus Fractures: Classification Based Treatment Algorithms.
      aug:
        au:
          Shah, Mudit
          Agashe, Mandar Vikas
        affil: Dr. Agashe's Maternity and Surgical Nursing Home, Vrindavan Building, Junction of LBS Marg, Andheri-Kurla Rd, Wadia Colony, Kurla, 400070, Mumbai, India
      sug:
        subj:
          Elbow Fractures Classification
          Humeral Fractures Classification
          Elbow Fractures Therapy
          Humeral Fractures Therapy
          Algorithms
          Fracture Fixation Methods
          Elbow Fractures Surgery
          Humeral Fractures Surgery
          Humeral Fractures Radiography
          Child, Preschool
          Child
          Child, Preschool: 2-5 years
          Child: 6-12 years
      ab: Supracondylar humerus fractures are the most common fractures around the elbow in children between 4 and 10 years of age. The treatment of supracondylar humerus fractures can vary from conservative treatment to operative treatment depending on the fracture type. All around the world, the most commonly used classification system is the Wilkins-modified Gartland classification of supracondylar humerus fractures. Currently, the decision to operate or conserve the fracture is taken on basis of this classification system. Non-operative treatment for type I fractures and operative treatment for type III fractures have been well-established in literature. The management of type II supracondylar humerus fracture creates confusion in the minds of numerous orthopaedic surgeons around the world. We have tried addressing this using a classification-based treatment algorithm. Other classification systems like the AO classification, Lagrange and Rigault classification and Bahk classification with special reference to special fracture patterns that require attention and pre-op planning have also been mentioned. It is important to understand that operative management of each supracondylar humerus fracture is unique as regards fixation method and it is important to consider the fracture pattern before internal fixation.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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