Archives of Pediatrics (ISSN: 2575-825X)

research article

Complications of Supracondylar Humeral Fractures in Children at Level One Trauma Center

Ayman H. Jawadi1*,Sultan Almaiman2,Sultan Alharbi2,Tariq Jawadi3

1Department of Pediatric Orthopedic surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

2College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

3King Abullah International Medical Research Center (KIMARC), Saudi Arabia

*Corresponding author: Ayman H. Jawadi, Associate Professor, Pediatric Orthopedic Consultant, Department of pediatric Orthopedic Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.Tel: +966118011111; Ext: 53665; Email: dr.jawadi@gmail.com

Received Date:01December, 2017; Accepted Date:13 December, 2017; Published Date:22 December, 2017.

1.      Abstract

1.1.  Background: Supracondylar humeral fracture is the most common pediatric elbow fracture. The type of the fractureswill influence on complications severity. The aim of this study is to discover this association and evaluate it in a level one trauma center.

1.2.  Methods: The data was retrospectively collected from medical records of patients aged 14 years and below who presented to the emergency department with a supracondylar humeral fracture between 2007 and 2012. The data included mechanism of injury, type of fracture, pre-and post-operative examinations, time from injury to surgery, type of surgery, duration of immobilization and the presence of complications. Assessment of these complications was done preoperatively, postoperatively and at last follow-up. Association between complications and types of fractures was determined using the Fisher exact test.

1.3.  Results: A total of 125 patients’ records were reviewed, 6 cases of type I (4%), 47 types II (38%) and 72 types III (58%). The overall complications rate in the last follow up was higher in type III than in type II (14% vs 4%, respectively), however no statistical significance was found between both types(P-value= 0.16). Stiffness was noted to be the most common complication in type III (n=7) (10%).Other complications associated with type III, were nerve injury and deformity. While in type II, the only complications seen at the last follow up was infection and stiffness, which were equally seen in 1 patient for each complication (2%).

1.4.  Conclusion: Complication rate significantly changes depending on type of fracture. Type III was more associated with complications compared to type II. Since the complications differ between types of fractures, special attention should be given to each type.

1.5.  Level of Evidence: Retrospective Cohort Study, Level III.

2.      Keywords:Complication; Elbow; Nerve Injury; Pediatric; Supracondylar Humeral Fracture


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