Çocuk suprakondiler humerus kırıklarının kapalı redüksiyon ve perkütan tellenmesinde rotasyonel kusuru düzeltmek için yeni bir yöntem

Öz

Çocuklarda suprakondiler humerus kırıklarında rotasyonel kusurun kapalı tedavilerle düzeltilemediği durumlarda sıklıkla açık redüksiyona başvurulmaktadır. Biz, bu çalışmamızda, rotasyonel kusurun düzeltilmesinde Kirschner telinin bir kumanda kolu olarak kullanıldığı yeni bir yöntem sunuyoruz. 

Anahtar Kelimeler

• Kapalı redüksiyon; rotasyonel kusur; suprakondiler humerus kırığı.

A new method to correct rotational malalignment for closed reduction and percutaneous pinning in pediatric supracondylar humeral fractures

Öz

Open reduction is often necessary for the treatment of supracondylar humeral fractures in children in which rotational malalignment cannot be corrected by closed means. We introduce a new closed reduction technique for the correction of this deformity using a Kirschner wire as a joystick.

Anahtar Kelimeler

• Closed reduction
• rotational malalignment
• supracondylar humeral fracture

Kaynakça

1. Charnley J. Arthroplasty of the hip. A new operation. Lancet 1961;1:1129-32.
2. Crombie R, Duncan R. Closed reduction and percutaneous fixation of displaced paediatric supracondylar fractures of the elbow. Curr Orthop 2004;18;147-53.
3. Kasser JR, Beaty JH. Supracondylar fractures of the distal humerus. In: JR Kasser, JH Beaty, editors. Rockwood and Wilkins’ Fractures in Children. 6th edition. Philadelphia, PA: Lippincott Williams & Wilkins; 2006. p.575.
4. Tellisi N, Abusetta G, Day M, Hamid A, Ashammakhi N, Wahab KH. Management of Gartland’s type III supracondylar fractures of the humerus in children: the role audit and practice guidelines. Injury 2004;35:1167-71. Parmaksizoglu AS, Ozkaya U, Bilgili F, Sayin E, Kabukcuoglu Y. Closed reduction of the pediatric supracondylar humerus fractures: the “joystick” method. Arch Orthop Trauma Surg 2009;129:1225-31.
5. Novais EN, Andrade MA, Gomes DC. The use of a joystick technique facilitates closed reduction and percutaneous fixation of multidirectionally unstable supracondylar humeral fractures in children. J Pediatr Orthop 2013;33:14-9.
6. Lee SS, Mahar AT, Miesen D, Newton PO. Displaced pediatric supracondylar humerus fractures: biomechanical analysis of percutaneous pinning techniques. J Pediatr Orthop 2002;22:440-3.
7. Reitman RD, Waters P, Millis M. Open reduction and internal fixation for supracondylar humerus fractures in children. J Pediatr Orthop 2001;21:157-61.
8. Aktekin CN, Toprak A, Ozturk AM, Altay M, Ozkurt B, Tabak AY. Open reduction via posterior triceps sparing approach in comparison with closed treatment of posteromedial displaced Gartland type III supracondylar humerus fractures. J Pediatr Orthop B 2008;17:171-8.

9. Guse TR, Ostrum RF. The surgical anatomy of the radial nerve around the humerus. Clin Orthop Relat Res 1995;320:149-53.
10. Mazda K, Boggione C, Fitoussi F, Penneçot GF. Systematic pinning of displaced extension-type supracondylar fractures of the humerus in children. A prospective study of 116 consecutive patients. J Bone Joint Surg Br 2001;83:888-93.