Comparison of Acute Complications after Early Versus Delayed Surgical Treatment of Pediatric Elbow Supracondylar Fractures

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Orthopedic Surgery, School of Medicine AND Orthopedic Trauma Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Specialist in Community Medicine, Researcher, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Pediatric supracondylar humeral fractures can be associated with infectious, vascular, and neurological complications. There is debate about emergency or elective treatment methods of this fracture. The aim of this study was to evaluate the passing of time in the treatment of pediatric elbow supracondylar fractures.Methods: In this study, 60 patients underwent early surgery (before 8 hours) and 60 patients with delayed arrival underwent delayed treatment (after 8 hours). After data collection by observation and checklist they were analyzed by means of SPSS software and X2, Fisher’s exact test, t-test, and Mann-Whitney statistical test. P values of > 0.05 were considered significant.Findings: There was no significant difference between the two groups regarding neurovascular injury, infection, myositis ossificans, and varus deformity. Moreover, there was no compartment syndrome in the two groups (P > 0.05).Conclusion: We were unable to identify any significant differences regarding complications such as neurovascular injury, infection, myositis ossificans, and varus deformity between early and delayed treatment groups of pediatric supracondylar humeral fractures. Therefore, the choice between early or delayed operative treatment depends on the surgeon’s preference and judgment.

Keywords

References

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Journal of Isfahan Medical School
Volume 31, Issue 249 - Serial Number 249
July and August 2013
Pages 1296-1304

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History

  • Receive Date: 08 April 2013
  • Revise Date:
  • Accept Date: 06 April 2022

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