Dorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review.

Hdl Handle:
http://hdl.handle.net/10147/205010
Title:
Dorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review.
Authors:
Queally, Joseph M; Paramanathan, Natasha; Walsh, James C; Moran, Cathal J; Shannon, Fintan J; D'Souza, Lester G
Affiliation:
Department of Trauma and Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital, Limerick, Ireland. josephqueally@gmail.com
Citation:
Dorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review. 2010, 41 (6):568-71 Injury
Journal:
Injury
Issue Date:
Jun-2010
URI:
http://hdl.handle.net/10147/205010
DOI:
10.1016/j.injury.2009.08.020
PubMed ID:
19782359
Additional Links:
http://www.sciencedirect.com/science/article/pii/S0020138309004677
Abstract:
The currently accepted treatment for displaced supracondylar humeral fractures in children is closed reduction and fixation with percutaneous Kirschner wires. The purpose of this study was to retrospectively review a novel cross-wiring technique where the cross-wire configuration is achieved solely from the lateral side, thereby reducing the risk of ulnar nerve injury.; We retrospectively reviewed all children who had undergone this procedure at our centre over a 10-year period. The primary end points were a major loss of reduction as determined by radiological alignment and iatrogenic ulnar nerve injury. Secondary end points included clinical alignment, elbow range of motion and complications.; A total of 43 patients, who underwent lateral cross-wiring for displaced supracondylar fractures (Gartland type II and type III) of the humerus were reviewed with a mean follow-up time of 36 months. No major loss of reduction occurred. The mean change in Baumann's angle (4.2+/-1.6 degrees) between intra-operative and follow-up radiographs was not significant (p>0.05). No iatrogenic case of ulnar nerve injury occurred. The 'carrying angle' and 'return to function' in all children had returned to normal relative to the other side. Postoperative complications consisted of three patients developing pin-site infections, which were successfully treated.; Dorgan's lateral cross-wiring technique is an effective option in treating displaced supracondylar fractures of the humerus in children. It is as effective as the traditional cross-wire technique in terms of fracture healing with a reduced risk of ulnar nerve injury.
Item Type:
Article
Language:
en
MeSH:
Bone Wires; Child; Child, Preschool; Female; Fluoroscopy; Fracture Fixation, Internal; Humans; Humeral Fractures; Male; Range of Motion, Articular; Retrospective Studies; Treatment Outcome; Ulnar Nerve
ISSN:
1879-0267

Full metadata record

DC FieldValue Language
dc.contributor.authorQueally, Joseph Men
dc.contributor.authorParamanathan, Natashaen
dc.contributor.authorWalsh, James Cen
dc.contributor.authorMoran, Cathal Jen
dc.contributor.authorShannon, Fintan Jen
dc.contributor.authorD'Souza, Lester Gen
dc.date.accessioned2012-01-26T11:06:50Z-
dc.date.available2012-01-26T11:06:50Z-
dc.date.issued2010-06-
dc.identifier.citationDorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review. 2010, 41 (6):568-71 Injuryen
dc.identifier.issn1879-0267-
dc.identifier.pmid19782359-
dc.identifier.doi10.1016/j.injury.2009.08.020-
dc.identifier.urihttp://hdl.handle.net/10147/205010-
dc.description.abstractThe currently accepted treatment for displaced supracondylar humeral fractures in children is closed reduction and fixation with percutaneous Kirschner wires. The purpose of this study was to retrospectively review a novel cross-wiring technique where the cross-wire configuration is achieved solely from the lateral side, thereby reducing the risk of ulnar nerve injury.-
dc.description.abstractWe retrospectively reviewed all children who had undergone this procedure at our centre over a 10-year period. The primary end points were a major loss of reduction as determined by radiological alignment and iatrogenic ulnar nerve injury. Secondary end points included clinical alignment, elbow range of motion and complications.-
dc.description.abstractA total of 43 patients, who underwent lateral cross-wiring for displaced supracondylar fractures (Gartland type II and type III) of the humerus were reviewed with a mean follow-up time of 36 months. No major loss of reduction occurred. The mean change in Baumann's angle (4.2+/-1.6 degrees) between intra-operative and follow-up radiographs was not significant (p>0.05). No iatrogenic case of ulnar nerve injury occurred. The 'carrying angle' and 'return to function' in all children had returned to normal relative to the other side. Postoperative complications consisted of three patients developing pin-site infections, which were successfully treated.-
dc.description.abstractDorgan's lateral cross-wiring technique is an effective option in treating displaced supracondylar fractures of the humerus in children. It is as effective as the traditional cross-wire technique in terms of fracture healing with a reduced risk of ulnar nerve injury.-
dc.language.isoenen
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0020138309004677en
dc.subject.meshBone Wires-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshFemale-
dc.subject.meshFluoroscopy-
dc.subject.meshFracture Fixation, Internal-
dc.subject.meshHumans-
dc.subject.meshHumeral Fractures-
dc.subject.meshMale-
dc.subject.meshRange of Motion, Articular-
dc.subject.meshRetrospective Studies-
dc.subject.meshTreatment Outcome-
dc.subject.meshUlnar Nerve-
dc.titleDorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review.en
dc.typeArticleen
dc.contributor.departmentDepartment of Trauma and Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital, Limerick, Ireland. josephqueally@gmail.comen
dc.identifier.journalInjuryen
dc.description.provinceMunster-
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