Year Book: Transarticular Fixation for Severely Displaced Supracondylar
Fractures in Children. Archibald, DAA. Roberts, JA. Smith, MGH. Royal Hosp for Sick Children, Glasgow, Scotland. Abstract/Commentary:|1992 Year Book of Orthopedics. Article 1-32.|Original Article:|J Bone Joint Surg. 1991. 73-B. pp 147-149.. Background.--The management of severely displaced, unstable supracondylar fractures of the humerus in children remains controversial. Methods.--During a 20-year period 42 children with severe supracondylar humeral fractures were treated by open reduction through a medial incision and internal fixation by a single transarticular pin. Results.--Thirty-four children were evaluated after an average follow-up period of 6.8 years (range, 9 months to 20 years). In 79% of patients excellent or good results were achieved with loss of less than 11 degrees of arc and with less than 11 degrees of change in carrying angle. All but 2 of 14 patients with nerve injuries recovered fully.
Original Text by Clifford R. Wheeless, III, MD.
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