Ann Clin Surg | Volume 1, Issue 1 | Research Article | Open Access
Claude MJ*, Carine MM, Irène O, Emmanuel K and Grace O
Department of Pediatric Surgery, Brazzaville University and Hospital Center, Congo
Fulltext PDFObjective: To describe epidemiological, diagnostic, therapeutic and evolutionary aspects of supracondylar fractures in children. Materials and Methods: This was a retrospective and descriptive carried out from January to December 2017 (6 years) in the department of pediatric surgery at the university hospital of Brazzaville. The cases of children from 3 years to 5 years of age who had a displaced supracondylar fracture of the humerus were reviewed. The studied parameters: Epidemiology, diagnosis, treatment and evolution. Results: In 6 years, 71 children were treated for supracondylar fracture including 53 boys (75%) and 18 girls (25%). Their ages ranged between 2 years and 14 years, with an average age of 8.6 years. The mean time to consultation was 6 days (24 h to 22 days). The fractures were classified according to Lagrange and Rigault: Stage I (n=26), stage II (n=23), stage III (n=11), stage IV (n=11). The median time to treatment was 79 h (14 h to 216 h). Orthopedic treatment was performed n=45 (63%) in types I, II and surgical n=26 (37%) in severe displacement types. Complications included failed reductions n=4 (5%), a superficial infections n=7 (10%) and 3 (4%) secondary displacements. Sequelae included flexion deficit of more than 20° in 6 (8%) patients and extension deficit of more than 20° in 3 (4%) patients. Overall, our results were good. Conclusion: Supracondylar fractures are the most common fractures of the elbow in children. The treatment was orthopedic in types I, II and surgical in severe displacement types. Overall, our results were good.
Claude MJ, Carine MM, Irène O, Emmanuel K, Grace O. Supracondylar Fractures of the Humerus in Children at the University Hospital Center of Brazzaville. Ann Clin Surg. 2020; 1(1): 1005.