Neurovascular Abnormalities in Gartland III Supracondylar Fractures in Children
R. Bălănescu, Al. Ulici, D. Rosca, L. Topor, M. BarbuOriginal article, no. 2, 2013
The most common elbow injuries in pediatric trauma practice
are supracondylar fractures of the humerus. Posteriorly
displaced fractures may be angulated or displaced medially or
laterally with associated internal or external rotation. We
compared two groups of patients, each with grade III supracondylar
fractures after Garland. The goal of this study was to
see if reduction and pinning maneuvers create neurovascular
abnormalities and if there are any differences in terms of
neurovascular consequences for reducing grade III Gartland
supracondylar fractures of the humerus using reduction in
supination or pronation of the forearm. We formed two study
groups based on the reduction method used. Concretely:
patients who needed reduction in pronation were included in
the first group and patients who needed reduction in supination
were included in the second group. Patients were added to
each group until every group reached 40, to have equal and
comparable groups. No statistically significant differences on
clinical outcome and neurovascular complications appeared
between the two methods of closed reduction. We can say that
both methods used are correct.