Current Strategies for the Management of Pediatric Supracondylar Humerus Fractures: Tips and Techniques for Successful Closed Treatment

Brian Brighton, Joshua Abzug, Christine A nn Ho, Todd F. Ritzman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Pediatric supracondylar humerus fractures are the most commonly encountered type of elbow fractures in children that require surgical fixation. Many pediatric supracondylar humerus fractures can be treated with closed reduction and percutaneous skeletal fixation. In difficult fractures, adjunct pin techniques, such as joystick wires and leverage pins, can be used to help attain a satisfactory and stable reduction before an open approach is used. After the fracture is reduced, optimal pinning, with the use of either crossed or lateral-entry techniques, and fixation that achieves maximal spread at the fracture site as well as bicortical engagement in both fragments are essential to maintain reduction and avoid complications that are associated with malunion. A practical approach as well as several tips and techniques may help surgeons attain and maintain stable closed reduction of pediatric supracondylar humerus fractures.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalInstructional course lectures
Volume65
StatePublished - 2016

ASJC Scopus subject areas

  • Medicine(all)

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