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The purpose of this study was to compare pin configuration effects on early secondary displacement in the surgical treatment of pediatric supracondylar humeral fractures (SCHF).
The study consisted of 100 (68M, 32F) children who underwent surgery between 2010 and 2013 for Gartland Type 3 (SCHF). The patients divided into five groups according to the top in configurations (crossed 1 lateral 1 medial, crossed 2 lateral 1 medial, crossed 1 lateral 2 medial, 2 lateral divergent, and 3 lateral divergent). The average age at the time of injury was 7.34 (between 2 and 14 years). Bauman angle (BA), Humerocapital angle (HCA), Anterior humeral line (AHL), flexion range, extension range, and Carrying angle (CA) were compared at preoperative, postoperative 1st-day, postoperative last control, and non-operated side. The mean follow-up time 24,96±11,06 with a range of 12-54 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 medial 1 lateral K-wire | Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 1 lateral K-wire |
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| 1 medial 2 lateral K-wire | Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 2 lateral K-wire |
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| 2 medial 1 lateral K-wire | Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 medial 1 lateral K-wire |
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| 2 lateral K-wire | Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 lateral K-wire |
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| 3 lateral K-wire | Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 3 lateral K-wire |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires | Procedure | The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations. |
| Measure | Description | Time Frame |
|---|---|---|
| Baumann Angle | This angle is formed by the humeral axis and a straight line through the epiphyseal plate of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. | postoperative 1. day, 1. month and 12. month |
| Anterior Humeral Line | A line drawn down the anterior surface of the humerus should intersect the middle third of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. | postoperative 1. day, 1. month and 12. month |
| Humero-Capital Angle | On lateral X-ray angle between capitellum and humeral shaft. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery. | postoperative 1. day, 1. month and 12. month |
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Inclusion Criteria
Exclusion Criteria:
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Patients under 16 years.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 29, 2014 | Feb 28, 2021 | Prot_SAP_000.pdf |
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