Pediatric Type III Supracondylar Humeral Fracture

Completed

• Conditions: Supracondylar Humerus Fracture; Pediatric Fractures
• Interventions: Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires

• Registration Number: NCT04780308
• Lead Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Brief Summary

The purpose of this study was to compare pin configuration effects on early secondary displacement in the surgical treatment of pediatric supracondylar humeral fractures (SCHF).

Detailed Description

The study consisted of 100 (68M, 32F) children who underwent surgery between 2010 and 2013 for Gartland Type 3 (SCHF). The patients divided into five groups according to the top in configurations (crossed 1 lateral 1 medial, crossed 2 lateral 1 medial, crossed 1 lateral 2 medial, 2 lateral divergent, and 3 lateral divergent). The average age at the time of injury was 7.34 (between 2 and 14 years). Bauman angle (BA), Humerocapital angle (HCA), Anterior humeral line (AHL), flexion range, extension range, and Carrying angle (CA) were compared at preoperative, postoperative 1st-day, postoperative last control, and non-operated side. The mean follow-up time 24,96±11,06 with a range of 12-54 months.

Study Timeline

• Study Start: 2010-01-01
• Primary Completion: 2013-12-31
• Study Completion: 2015-02-20
• Status Verified: 2021-02
• Study First Submitted: 2021-02-07
• Study First Submitted QC: 2021-02-28
• Last Update Submitted: 2021-02-28
• Study First Posted: 2021-03-03
• Last Update Posted: 2021-03-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

Not provided

Exclusion Criteria

• Pathological fractures
• Conservative treated supracondylar fractures
• Less than the 1-year follow-up
• Patients with incomplete postoperative follow-up
• Patients older than 16 years
• Pediatric Gartland Type 1 and 2 supracondylar humeral fracture

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
1 medial 1 lateral K-wire	Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires	Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 1 lateral K-wire
2 medial 1 lateral K-wire	Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires	Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 medial 1 lateral K-wire
1 medial 2 lateral K-wire	Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires	Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 2 lateral K-wire
2 lateral K-wire	Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires	Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 lateral K-wire
3 lateral K-wire	Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires	Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 3 lateral K-wire

Primary Outcome Measures

Name	Time	Method
Baumann Angle	postoperative 1. day, 1. month and 12. month	This angle is formed by the humeral axis and a straight line through the epiphyseal plate of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery.
Anterior Humeral Line	postoperative 1. day, 1. month and 12. month	A line drawn down the anterior surface of the humerus should intersect the middle third of the capitellum. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery.
Humero-Capital Angle	postoperative 1. day, 1. month and 12. month	On lateral X-ray angle between capitellum and humeral shaft. Preoperative and postoperative angle differences are measured in anteroposterior and lateral X rays. These differences are measured for reduction quality and these parameters shows the success of the surgery.