The Importance of Supracondylar Fractures in Children and Characteristics of Our Cases

Year 1962, Volume: 15 Issue: 4, 403 - 418, 31.08.1962

Avni Duraman

https://izlik.org/JA86GD25GS

Abstract

Supracondylar fractures are typically seen in children. These fractures are accompanied by soft tissue abnormalities such as bleeding, rapid swelling, impaired blood flow, and nerve damage. Over the past five years, we have monitored and treated 30 supracondylar fractures in children. Nine (97 of 97) of these were extension fractures. Among our patients, there was one open fracture, one osteomyelitis, two advanced gangrene, and two cases with severe elbow deformity. The patient with the open fracture was treated with a Kirschner wire inserted through the olecranon.
The patient with osteomyelitis was treated as an outpatient for a long time. Two patients with gangrene presented to us 4 and 15 days after the incident, following treatment by osteopaths. In the two cases with severe deformity, manipulation failed, and surgical reduction was performed: one with wire sutures, and the other with crossed Kirschner wires. In 23 cases where we performed closed reduction, the reduction was successful. In these cases, we place the elbow in a circular or splint cast at 70-80 degrees of flexion for 4-5 weeks after reduction. The results were good in the cases we were able to follow. Only three cases developed mild cubitis valgus or varus deformity.

Keywords

Supracondylar fracture , Pediatric fractures , Extension-type fracture

Çocuklarda Suprakondiler Kırıkların Önemi ve Vak'alarımızın Özellikleri

https://izlik.org/JA86GD25GS

Abstract

Supracondylar kırıklar umumiyetle çocuklarda görülür. Bu kırık kanama, süratli şişlik, kan akımındaki bozukluk ve sinirlerde hasar gibi yumuşak doku arızalarıyla birlikte görülür. Son beş sene içerisinde çocuklarda 30 supracondylar kırık takip ve tedavi ettik. Bunlardan o9'u (97 97) extantion tipi kırıktı. Hastalarımız arasında 1 açık kırık, 1 osteomyelit, 2 ilerlemiş gangren ve 2 vakada dirsekte ağır deformite mevcuttu. Açık kırıklı hasta olecranondan geçirilen Kirschner teli ile extantion yapılarak tedavi edildi.
Osteomyelitli vak'a uzun süre ayaktan tedavi edildi. Gangrenle gelen iki vak'a bize hadiseden 4 ve 15 gün sonra kırıkçıların tedavisinden sonra gelmişlerdi. Ağır deformite ile gelen iki vak'ada ise manipulasyon başarısız kaldığından cerrahi reduction'la biri tel dikiş, diğeri çapraz Kirschner teli ile tesbit edildi. Kapalı reduction yaptığımız 23 vak'ada reductin başarılı idi. Biz bunlarda reduction'dan sonra dirseği 70-80 derece flexion halinde 4-5 hafta için dairevi veya atel şeklindeki alçıya alıyoruz. Bizim takip edebildiğimiz vak'alarda neticeler iyi idi. Yalnız 3 vak'a da hafif derecede cubitis valgus veya varus deformitesi gelişmişti.

Keywords

Suprakondiler kırık , Çocuk kırıkları , Ekstansiyon tipi kırık

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