EPIDEMIOLOGY AND TIME-RELATED PATTERNS OF PEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES REQUIRING SURGERY

Yıl 2025, Cilt: 27 Sayı: 3, 373 - 377, 25.12.2025

Fatih Barça , Kadir Çevik

https://doi.org/10.24938/kutfd.1791660

Öz

Objective: Supracondylar humerus fractures are common injuries in childhood and often require surgery. Our aim is to determine whether there is a relationship between supracondylar humerus fractures and their subtypes and temporal characteristics (seasonal/monthly/weekdayweekend/ school time).
Material and Methods: In this single-center, retrospective clinical observational study, patients who presented to our hospital between January 2011 and December 2018 and underwent surgical treatment for pediatric supracondylar humerus fractures were examined. Demographic data, fracture type, the month and season in which the fracture occurred, whether fractures during the school term occurred during or outside of school hours, and weekday-weekend information were obtained from the records and analyzed.
Results: A total of 186 patients were included in the study (mean age 7.1±3.2, 67.2% male). Sixty-eight (36.6%) fractures occurred in the summer, 61 (32.8%) in the fall, 41 (22%) in the spring, and 16 (8.6%) in the winter. The highest number of patients presented in July, August, and September (25 patients each, 13.4%), while the lowest number presented in February (2 patients, 1.1%). One hundred twenty-five (67.2%) patients were admitted on weekdays and 61 (32.8%) on weekends. Of the patients who admitted on weekdays, 50 (40%) required open surgery, while 35 (57.4%) of those who were admitted on weekends required open surgery. The difference was found to be statistically significant (p=0.026). Seventy-four (50%) of school-aged children presented during the school term and twenty-two (29.7%) of these patients presented during school hours.
Conclusion: A majority of supracondylar humerus fractures requiring surgery occur during the summer and fall seasons. During the school term, most fractures occur outside school hours. Open surgery was required significantly more often for fractures that occurred on weekends than for those that occurred on weekdays.

Anahtar Kelimeler

Elbow , surgical traumatology , humeral fractures

Etik Beyan

The study was initiated with the approval of Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital Clinical Researches Ethics Committee (14.05.2018 - 50/04).

Destekleyen Kurum

No financial support was received from any institution or person.

Teşekkür

None

Çocuklarda Cerrahi Tedavi Edilen Suprakondiler Humerus Kırıklarının Epidemiyolojik ve Zamansal Özellikleri

Öz

Amaç: Suprakondiler humerus kırıkları çocukluk çağında sık görülen ve sıklıkla cerrahi gerektiren yaralanmalardır. Amacımız suprakondiler humerus kırıkları ve bu kırıkların alt tipleri ile temporal özellikler (mevsimsel/aysal/hafta içisonu/ okul zamanı) arasında herhangi bir ilişki olup olmadığını belirlemektir.
Gereç ve Yöntemler: Tek merkezli, retrospektif klinik gözlemsel çalışmada Ocak 2011- Aralık 2018 arasında hastanemizde başvuran ve cerrahi tedavi edilmiş pediatrik suprakondiler humerus kırığı olan hastalar incelendi. Demografik veriler, kırık tipi, hangi ayda ve hangi mevsimde gerçekleştiği, okul dönemindeki kırıkların okul saatinde veya dışında başvurduğu ve hafta içi-hafta sonu bilgisi kayıtlardan elde edildi ve analiz edildi.
Bulgular: Çalışmaya toplam 186 hasta dahil edildi (ort. yaş 7,11±3,2, %67,2 erkek). Kırıkların 68’i (%36,6) yaz mevsiminde, 61’i (%32,8) sonbahar mevsiminde, 41’i (%22) ilkbahar mevsiminde, 16’sı (%8,6) ise kış mevsiminde başvurdu. En çok hastanın Temmuz, Ağustos ve Eylül aylarında (25’er hasta, %13,4), en az hastanın ise Şubat ayında (2 hasta, %1,1) başvurduğu gözlendi. Kırıkların 125’i (%67,2) hafta içi, 61’i ise (%32,8) hafta sonu başvurdu. Hafta içi başvuran hastaların 50’si (%40), hafta sonu başvuranların ise 35’i (%57,4) açık cerrahiye gereksinim duydu. Aradaki fark istatistiksel olarak anlamlı bulundu (p=0.026). Okul çağındaki çocukların 74’ü (%50) okulun açık olduğu dönemlerinde başvurdu. Bu hastaların 22’si (%29,7) okulun açık olduğu saatlerde başvurdu.
Sonuç: Cerrahi gerektiren suprakondiler humerus kırıklarının önemli bir kısmı yaz ve sonbahar mevsimlerinde başvurmaktadır. Okulların açık olduğu dönemde kırıkların çoğunluğu okulların kapalı olduğu saatlerde başvurmuştur. Haftasonu başvuran kırıklarda açık cerrahi gereksinimi hafta içi başvuranlara göre anlamlı olarak daha fazla olmuştur.

Anahtar Kelimeler

Dirsek , cerrahi travmatoloji , humerus kırıkları

Etik Beyan

Çalışma, Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu'nun onayı ile yapılmıştır (14.05.2018 - 50/04).

Destekleyen Kurum

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Teşekkür

-

Kaynakça

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