Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/47660
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dc.contributor.authorTokyay, Abbas-
dc.contributor.authorOkay, Erhan-
dc.contributor.authorCansu, Eren-
dc.contributor.authorAydemir, Ahmet Narin-
dc.contributor.authorErol, Bülent-
dc.date.accessioned2023-01-09T21:29:31Z-
dc.date.available2023-01-09T21:29:31Z-
dc.date.issued2022-
dc.identifier.issn1306-696X-
dc.identifier.urihttps://doi.org/10.14744/tjtes.2020.23358-
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1136724-
dc.identifier.urihttps://hdl.handle.net/11499/47660-
dc.description.abstractBACKGROUND: Supracondylar humerus fractures are the most common form of elbow fracture in children and adolescents. At present, treatment planning is based on the Gartland classification. Reduction and percutaneous pinning are done for Gartland type III fractures. In cases where closed reduction is unsuccessful, the procedure is converted to open reduction. However, there is no consensus on which patients are more likely to require conversion to open reduction. The aim of this study was to investigate the effect of fracture location on the rate of conversion to open reduction and clinical outcomes. METHODS: A total of 112 patients who underwent early surgery for Gartland type III supracondylar humerus fracture between August 2011 and August 2017 were evaluated. The patients’ age, sex, facture location, post-operative loss of reduction, and complications were noted. The fractures were classified according to fracture level relative to isthmus (high level) or at/below the isthmus (low level). Closed reduction was initially preferred. Open reduction with percutaneous pinning was performed, when necessary. Flynn’s criteria were used to evaluate elbow motion after treatment. RESULTS: Mean follow-up time was 39 months (16–62 months). The mean age of the patients was 6.4±2 years (1.4–12 years). Thirty-nine of the patients were female, 73 were male; 32 fractures were in the dominant arm, 80 were in the non-dominant arm. Ninety of the fractures were classified as high level (proximal) and 22 as low level (distal). Patients with low-level fractures were significantly younger (p<0.01). Patients with low-level fractures also showed a significantly higher rate of conversion to open reduction compared to those with high-level fractures (p<0.01). Clinical outcomes evaluated with Flynn’s criteria were statistically equivalent between the high and low fracture groups (p>0.05). CONCLUSION: The Gartland classification provides important guidance for the treatment of supracondylar humerus fractures, but may have limitations. Our results suggest that revising the classification by incorporating fracture location may be more beneficial for pre-operative planning. © 2022, Turkish Association of Trauma and Emergency Surgery. All rights reserved.en_US
dc.language.isoenen_US
dc.publisherTurkish Association of Trauma and Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClosed reductionen_US
dc.subjectGartland type IIIen_US
dc.subjectopen reductionen_US
dc.subjectsupracondylar humerus fracturesen_US
dc.subjectArticleen_US
dc.subjectbody massen_US
dc.subjectchilden_US
dc.subjectclinical assessmenten_US
dc.subjectclosed reduction (procedure)en_US
dc.subjectcontrolled studyen_US
dc.subjectelbowen_US
dc.subjectfemaleen_US
dc.subjectfluoroscopyen_US
dc.subjectfracture nonunionen_US
dc.subjecthumanen_US
dc.subjecthumeral supracondylar fractureen_US
dc.subjectmaleen_US
dc.subjectosteosynthesisen_US
dc.subjectoutcome assessmenten_US
dc.subjectpostoperative perioden_US
dc.subjectrange of motionen_US
dc.subjectretrospective studyen_US
dc.subjectschool childen_US
dc.subjectthorax radiographyen_US
dc.subjecttreatment planningen_US
dc.subjectulnar nerveen_US
dc.subjectadolescenten_US
dc.subjectfracture fixationen_US
dc.subjecthumerusen_US
dc.subjecthumerus fractureen_US
dc.subjectopen fracture reductionen_US
dc.subjectpreschool childen_US
dc.subjectAdolescenten_US
dc.subjectChilden_US
dc.subjectChild, Preschoolen_US
dc.subjectFemaleen_US
dc.subjectFracture Fixationen_US
dc.subjectFracture Fixation, Internalen_US
dc.subjectHumansen_US
dc.subjectHumeral Fracturesen_US
dc.subjectHumerusen_US
dc.subjectMaleen_US
dc.subjectOpen Fracture Reductionen_US
dc.titleEffect of fracture location on rate of conversion to open reduction and clinical outcomes in pediatric Gartland type III supracondylar humerus fracturesen_US
dc.title.alternativeÇocukluk çağı tip 3 suprakondiler humerus kırıklarında kırık yerleşiminin açık redüksiyon ve klinik sonuçlara olan etkisien_US
dc.typeArticleen_US
dc.identifier.volume28en_US
dc.identifier.issue2en_US
dc.identifier.startpage202en_US
dc.identifier.endpage208en_US
dc.identifier.doi10.14744/tjtes.2020.23358-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.authorscopusid57006640400-
dc.authorscopusid56690141900-
dc.authorscopusid6506094845-
dc.authorscopusid56496649800-
dc.authorscopusid7004932286-
dc.identifier.pmid35099030en_US
dc.identifier.scopus2-s2.0-85123968305en_US
dc.identifier.trdizinid1136724en_US
dc.identifier.wosWOS:000750361500012en_US
dc.identifier.scopusqualityQ2-
item.cerifentitytypePublications-
item.grantfulltextopen-
item.openairetypeArticle-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.fulltextWith Fulltext-
crisitem.author.dept14.01. Surgical Medicine-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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