Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures
Abstract
1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Rotational Malreduction Group | Control Group | p | |
---|---|---|---|
No. of patients | 49 | 39 | |
Age (mean ± SD) | 5.7 ± 2.3 | 5.7 ± 2.3 | |
<5 | 18 | 12 | 0.695 |
≥5, <10 | 25 | 27 | 0.128 |
>10 | 6 | 0 | |
Sex, n (%) | 0.638 | ||
Male | 27 (55.1) | 24 (61.5) | |
Female | 22 (44.9) | 15 (38.5) | |
Side, n (%) | |||
Right | 21 (42.9) | 15 (38.5) | 1.000 |
Left | 28 (47.1) | 24 (61.5) | |
Type of fracture, n (%) | |||
Extension type | 46 (93.9) | 38 (97.4) | 0.552 |
Flexion type | 3 (6.1) | 1 (2.6) | |
Pattern of fracture, n (%) | |||
Transverse | 31 (63.3) | 34 (87.2) | 0.031 |
Oblique | 18 (36.7) | 5 (12.8) | |
Gartland type of fracture n (%) | 0.421 | ||
III-a | 27 (55.1) | 27 (69.2) | |
III-b | 19 (38.8) | 12 (30.8) | |
IV | 4 (8.1) | 0 (0.0) | |
Preoperative nerve palsy, n (%) | 9 (18.4) | 4 (10.3) | 0.309 |
Pucker sign, n (%) | 5 (10.2) | 0 (0.0) | 0.016 |
Time from injury to operation | 0.210 | ||
<24 | 31 (63.3) | 27 (69.2) | |
≥24, <48 | 11 (22.4) | 5 (12.8) | |
>48 | 8 (16.3) | 7 (17.9) | |
Method of operation, n (%) | 0.116 | ||
CRPP | 46 (93.9) | 39 (100.0) | |
ORPP | 3 (6.1) | 0 (0.0) | |
Operative time (mins) | 42.0 ± 24.7 | 31.7 ± 16.3 | 0.021 |
Follow-up period (months) | 15.5 ± 4.0 | 16.6 ± 4.2 | 0.347 |
Rotational Malreduction Group | Control Group | p | |
---|---|---|---|
Baumann angle (°) | |||
Preoperative | 71.1 ± 13.2 | 76.3 ± 12.1 | 0.069 |
Immediately postoperative | 75.2 ± 7.5 | 75.2 ± 6.3 | 0.983 |
Final | 75.7 ± 6.2 | 74.9 ± 3.9 | 0.458 |
Ulnohumeral angle (°) | |||
Preoperative | 15.1 ± 9.6 | 13.8 ± 6.3 | 0.462 |
Immediately postoperative | 16.3 ± 9.9 | 15.2 ± 9.6 | 0.385 |
Final | 11.6 ± 5.7 | 12.8 ± 5.1 | 0.365 |
Humerocapitellar angle (°) | |||
Preoperative | 19.2 ± 15.4 | 31.1 ± 25.2 | 0.045 |
Immediately postoperative | 42.2 ± 12.1 | 41.2 ± 11.6 | 0.475 |
Final | 39.6 ± 11.9 | 40.3 ± 13.3 | 0.819 |
Rotational angle (°) | |||
Preoperative | 41.2 ± 20.2 | 26.2 ± 14.8 | 0.004 |
Immediately postoperative | 25.8 ± 11.5 | 0.4 ± 1.1 | <0.001 |
Final | 3.3 ± 6.7 | 0.0 ± 0.0 | 0.275 |
Rotational Malreduction Group | Control Group | p | |
---|---|---|---|
Restoration of full ROM | |||
achievement rate, n (%) | 44 (89.8) | 37 (94.9) | 0.456 |
Time duration (months) | 7.8 ± 3.4 | 6.1 ± 3.7 | 0.018 |
Flynn criteria, n (%) | 0.458 | ||
Satisfactory | 44 (89.8) | 37 (94.9) | |
Excellent | 34 (69.4) | 29 (78.4) | |
Good | 10 (20.4) | 8 (20.5) | |
Unsatisfactory | 5 (10.2) | 2 (5.1) | |
Fair | 2 (4.1) | 1 (2.6) | |
Poor | 3 (6.1) | 1 (2.6) | |
Oxford elbow score | 94.5 ± 4.5 | 96.4 ± 3.7 | 0.684 |
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Seo, K.B.; Kim, B.S.; Park, Y.-G.; Lim, C. Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures. Medicina 2024, 60, 791. https://doi.org/10.3390/medicina60050791
Seo KB, Kim BS, Park Y-G, Lim C. Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures. Medicina. 2024; 60(5):791. https://doi.org/10.3390/medicina60050791
Chicago/Turabian StyleSeo, Kyu Bum, Byung Suk Kim, Yong-Geun Park, and Chaemoon Lim. 2024. "Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures" Medicina 60, no. 5: 791. https://doi.org/10.3390/medicina60050791
APA StyleSeo, K. B., Kim, B. S., Park, Y.-G., & Lim, C. (2024). Associated Factor and Long-Term Clinical Outcomes for Patients with Postoperative Rotational Malreduction in Pediatric Supracondylar Humeral Fractures. Medicina, 60(5), 791. https://doi.org/10.3390/medicina60050791