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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2009

01-09-2009 | Trauma Surgery

Closed reduction of the pediatric supracondylar humerus fractures: the “joystick” method

Authors: Atilla Sancar Parmaksizoglu, Ufuk Ozkaya, Fuat Bilgili, Emrah Sayın, Yavuz Kabukcuoglu

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2009

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Abstract

Introduction

Our goal in this study was to propose an alternative closed reduction method to avoid open reduction in the management of pediatric supracondylar humerus fractures. A temporary Kirschner wire is inserted to the proximal part of the humerus to be used as a joystick to have a better control of the proximal fragment.

Patients

Twenty-three patients with closed Gartland type III extension fractures were operated between 2003 and 2007. Mean age of the patients was 6.7 (4–10) years.

Method

Uninjured and fractured elbow’s Bauman angles, lateral condylar angles, the carrying angles and ROM values were compared statistically according to independent samples t test.

Results

At a mean follow-up 96.73 weeks (53–150), clinical results using the Flynn criteria were excellent in 21 (91.3%), good in 1(4.35%), fair in 1 (4.35%) patient.

Conclusion

These results suggest that the “joystick” reduction method is a reliable alternative when closed reduction itself is not successful.
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Metadata
Title
Closed reduction of the pediatric supracondylar humerus fractures: the “joystick” method
Authors
Atilla Sancar Parmaksizoglu
Ufuk Ozkaya
Fuat Bilgili
Emrah Sayın
Yavuz Kabukcuoglu
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0790-8

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