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العنوان
Evaluation of reduction and fixation of displaced pediatric supracondylar humeral fractures by Kapandji technique /
المؤلف
Tawfic, Michael Mourad.
هيئة الاعداد
باحث / مايكل مراد توفيق
مشرف / طارق ابراهيم ابو النور
مشرف / كمال محمد حافظ
مشرف / احمد محمد سامى
الموضوع
Orthopedic.
تاريخ النشر
2017.
عدد الصفحات
93 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
16/8/2017
مكان الإجازة
جامعة طنطا - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

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Abstract

The purpose of this study was to evaluate the clinical, radiographic
results and complications of using Kapandji technique for reduction
of pediatric displaced supracondylar humeral fractures.
Closed reduction and percutaneous pinning has been widely accepted
as the gold standard for treating Gartland ΙΙΙ supracondylar fractures
of the humerus in children.
This prospective study was done between the period from May 2015
to September 2016 on twenty one patients suffering Gartland ΙΙΙ
supracondylar fracture of the humerus that presented at the
department of orthopedics and traumatology of Tanta University.
The study included patients aged between two to ten years. Among
21 children there were 15 males and six females. The left side was
involved in 80.9% of cases.
Fall on outstretched hand was the mode of injury in all cases resulting
in extension type supracondylar fracture of the humerus.
Patients included in this study had their fractures reduced using
posterior K-wire introduced through the fracture site as a lever to
forward reduce the posteriorly displaced distal fragment. Once
anatomical reduction has been obtained and confirmed by
fluoroscopy, percutaneous pinning by lateral or crossed K-wires to
stabilize the distal fragment.
Five cases had one laterally inserted K-wire; fourteen cases had two
laterally inserted K-wires and four cases had one lateral and one
medial K-wires.
The follow up period ranged between three to six months, using the
Flynn’s criteria there were 85.7% of cases had excellent results, 9.5%
of cases with good accepted results (95.2 %) satisfactory results and
one case (4.8%) had bad result.