Management of Vascular Complications in Pediatric Supracondylar Humerus Fractures
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- incidence of vascular complications in patients with supracondylar humerus fractures
研究概览
简要总结
- To determine the incidence and types of vascular injuries associated with pediatric supracondylar humerus fractures.
- Identify outcomes of different management strategies
- Identify risk factors for vascular injury
详细描述
Supracondylar humerus fractures are the most common elbow fractures in children. Because the brachial artery lies anterior to the distal humerus, displaced fractures can cause:
Arterial spasm, Intimal injury, Thrombosis, Entrapment or transection) Vascular injury risk increases significantly with higher Gartland classifications of supracondylar humerus fractures, peaking in Type III and Type IV injuries.
Vascular compromise can lead to ischemia, compartment syndrome, and long-term functional deficits if not promptly identified and treated.
The decision-making around "pink pulseless hand" remains controversial Some centers advocate observation after reduction, while others recommend early exploration.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Factorial
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- — 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •● Children Diagnosed with supracondylar humerus fracture (Gartland I-IV) aged under 15 years.
- •Presented within 1st 48 hrs of injury.
排除标准
- •● Old trauma >48 hours
- •Previous vascular intervention in the same limb
- •Another fracture in the same limb
结局指标
主要结局
incidence of vascular complications in patients with supracondylar humerus fractures
时间窗: baseline
次要结局
- Predictors of vascular complications in pediatric supracondylar humerus fractures.(baseline)