Conclusions:The reverse oblique Gartland type Ⅲ supracondylar humerus fractures are relatively rare in clinical practice, which involves more severe soft tissue damages and more obvious antecubital ecchymosis.The conventional reduction methods seem to be ineffectual for the reverse oblique supracondylar humerus fractures. Here is a listing of the common types that may happen: Greenstick.
#OBLIQUE HUMERUS FRACTURE SKIN#
The bone is broken, but the skin is intact. Closed fracture (also called simple fracture). The operative time for the traditional oblique type, transverse type and reverse oblique type group were (43.28☒4.25) min, (40.95☒7.41) min and (58.66☓4.08) min, which was significant different ( F=4.337, P0.05). Open fracture (also called compound fracture): The bone pokes through the skin and can be seen, or a deep wound exposes the bone through the skin. The age of the traditional oblique type, transverse type and reverse oblique type group were (4.76☒.51) years, (4.71☒.09) years and (6.32☑.98) years, respectively, which was significant different among the 3 groups ( F=5.826, P0.05). There were 60, 64 and 29 patients in the traditional oblique type, transverse type and reserve oblique type groups, respectively.There were no differences in the gender, injury side, and injury causes among the 3 groups (all P>0.05). Results: Patients were followed up for (8.65☒.47) months (6-15 months).
Gender, age, injury side, cause of injury, ecchymosis before elbow, preoperative neurological symptoms, operation time, incision ratio, and Flynn scores of the elbow joint at the last follow-up were compared among the 3 groups.
Methods:A total of 153 cases of Gartland type Ⅲ supracondylar humerus fractures treated in the Department of Pediatric Orthopedics, Qilu Hospital of Shandong University (Qingdao) from January 2017 to April 2019 were retrospectively analyzed.They were categorized into the traditional oblique type (the fracture line went downward in the front and upward in the back), transverse type (the fracture line went horizontally) and reverse oblique type (the fracture line went upward in the front and downward in the back). This pattern presents a challenge during closed manipulation utilizing traditional reduction maneuvers.
We describe a reverse oblique (RO) pattern in which the distal fragment has a prominent anterior spike that is displaced posterior to the proximal fragment. ABSTRACT Objective:To compare the effects of the fracture line direction in the sagittal profile on the Gartland type Ⅲ supracondylar humerus fractures in children. Background: Sagittal profile descriptions of supracondylar humerus fractures are limited.
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