Differences in Carrying Angle, Baumann’s Angle, Anterior Humeral Line and Dash Score between Children in the Age Group of Less than 5 Years and over 5 Years at 3 Months Post Open Reduction Internal Fixation Criss-Cross Wire Fracture Supracondylar Humerus Gartland Type III
PubMed
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Introduction: Supracondylar humerus fracture is one of the most found fractures in children. In addition to adequate fixation, the role of age differences in the clinical outcomes of operative treatment of supracondylar humeral fractures is still a matter of debate. This study aimed to compare the clinical and radiological outcome of surgery in cases of Gartland type III supracondylar humerus fracture.
Materials and Methods: This study used a cross-sectional design on the population of patient with Gartland type III supracondylar fracture. Patients were divided into 2 groups: age <5 years old (Group 1) and >5 years old (Group 2). The evaluation was carried out 3 months after surgery with open reduction internal fixation crisscross wire. The parameters assessed were Baumann’s angle, carrying angle, and anterior humeral line, and Disabilities of the Arm, Shoulder, and Hand (DASH) Score. Difference between group were analyzed using the chi-square test.
Results: There were a total of 34 patients included in this study. Patients >5 years old had a 1.85 times greater chance to have a post-operative carrying angle of >15o (95% CI 0.993-3.474; p = 0.037) and 2.75 times greater chance to result in post-operative Baumann’s angle >80o (95% CI 1,089-6,943, p=0.037). There were no significant differences in anterior humeral line (p=1) and DASH score (p=0.244) between groups.
Conclusion: The result of surgery in supracondylar fracture of the humerus over 5 years old tend to have worse radiological outcome (carrying angle and Baumann’s angle) than patient younger than 5 years old. Thus, treatment of supracondylar fractures of the humerus aged more than 5 years requires more attention with adequate reduction and vigilance against complications that can affect the bone growth of pediatric patients.
-
Tarallo L, Novi M, Porcellini G, Schenetti C, Micheloni GM, Maniscalco P, et al. Gartland type III supracondylar fracture in children: is open reduction really a dangerous choice?. Injury. 2022; 53 Suppl 1: S13-S18.
DOI
|
Google Scholar
-
Ryan DD, Lightdale-Miric NR, Joiner ERA, Wren TAL, Spragg L, Heffernan MJ, et al. Variability of the anterior humeral line in normal pediatric elbows. J Pediatr Orthop. 2016; 36(2): e14-e16.
DOI
|
Google Scholar
-
Herman MJ, Boardman MJ, Hoover JR, Chafetz RS. Relationship of the anterior humeral line to the capitellar ossific nucleus: variability with age. J Bone Joint Surg Am. 2009; 91(9): 2188-2193.
DOI
|
Google Scholar
-
Kumar V, Singh A. Fracture supracondylar humerus: a review. J Clin Diagn Res. 2016; 10(12): RE01-RE06.
|
Google Scholar
-
Gholap A, Wokhlu A, Gholap P. Gartlands type III supracondylar humerus fractures- cross k-wiring versus lateral k-wiring : a preliminary study Type of Fixation. IJOS. 2020; 6(1): 1259-1262.
DOI
|
Google Scholar
-
Vaquero-Picado A, González-Morán G, Moraleda L. Management of supracondylar fractures of the humerus in children. EFORT open Rev. 2018; 3(10): 526-540.
DOI
|
Google Scholar
-
Maharjana MA, Suyasa IK, Kawiyana IKS, Nugraha HK. Pathological fracture of the femur in Alagille Syndrome: a case report. J Clin Orthop Trauma. 2020; 11(2): 298-301.
DOI
|
Google Scholar
-
Kumar V, Singh A. Fracture Supracondylar Humerus: A Review. J Clin Diagn Res. 2016; 10(12): RE01-RE06.
DOI
|
Google Scholar
-
Shah M, Agashe MV. Supracondylar humerus fractures: classification based treatment algorithms. Indian J Orthop. 2020; 55(1): 68-80.
DOI
|
Google Scholar
-
Balasubramanian P, Madhuri V, Muliyil J. Carrying angle in children: a normative study. J Pediatr Orthop B. 2006; 15(1): 37-40.
DOI
|
Google Scholar
-
Verka PS, Kejariwal U, Singh B. Management of cubitus varus deformity in children by closed dome osteotomy. J Clin Diagn Res. 2017; 11(3): RC08-RC12.
DOI
|
Google Scholar
-
Blom AW, Warwick D and Whitehouse MR. Apley & Solomon’s System of Orthopaedics and Trauma. 10th ed. CRC Press. 2018.
|
Google Scholar
-
Ganeshalingam R, Donnan A, Evans O, Hoq M, Camp M, Donnan L. Lateral condylar fractures of the humerus in children: does the type of fixation matter?. Bone Joint J. 2018; 100-B(3): 387-395.
DOI
|
Google Scholar
-
Mahaisavariya B, Laupattarakasem W. Supracondylar fracture of the humerus: malrotation versus cubitus varus deformity. Injury. 1993; 24(6): 416-418.
DOI
|
Google Scholar
-
Tomori Y, Nanno M, Takai S. Clinical results of closed versus mini-open reduction with percutaneous pinning for supracondylar fractures of the humerus in children: A retrospective case-control study. Medicine. 2018; 97(45): e13162.
DOI
|
Google Scholar
-
Kitta MI, Ismiarto YD, Saleh MR, Sakti M, Abidin MA, Putra LT. Analysis of radiological alignment and functional outcomes of pediatric patients after surgery with displaced supracondylar humerus fracture: A cross-sectional study. Int J Surg Open. 2020; 24: 136-142.
DOI
|
Google Scholar
-
Smajic N, Smajic J, Sadic S, Jasarevic M, Ahmetovic-Djug J, Hodzic R. Correlation between Bauman’s and carrying angle in children with supracondylar fracture of humerus. Med Arch (Sarajevo, Bosnia Herzegovina). 2013; 67(3): 195-197.
DOI
|
Google Scholar
-
Carvalho RA, Filho NF, Neto ABC, Reis GD, Dias MP. Supracondylar fracture of the humerus in children: fixation with two crossed kirschner wires. Rev Bras Ortop. 2012; 47(6): 705-709.
DOI
|
Google Scholar
-
Sato K, Mimata Y, Takahashi G, Murakami K, Ouchi S, Shiraishi H, et al. Validity of the distance between the anterior humeral line and capitellum as a quantitative measure of supracondylar humeral fracture in children. Injury. 2020; 51(6): 1321-1325.
DOI
|
Google Scholar
-
Kao HK, Lee WC, Yang WE, Chang CH. Clinical significance of anterior humeral line in supracondylar humeral fractures in children. Injury. 2016; 47(10): 2252-2257.
DOI
|
Google Scholar
-
Isa AD, Furey A, Stone C. Functional outcome of supracondylar elbow fractures in children: a 3- to 5-year follow-up. Can J Surg. 2014; 57(4): 241-246.
DOI
|
Google Scholar
-
Habumugisha B, Orth M, Service O. Outcome of paediatric supracondylar humeral fractures treated by surgery at the university teaching hospital of Kigali, Rrwanda. East African Orthopaedic Journal. 2022; 16(2).
|
Google Scholar
-
Wang S Il, Kwon TY, Hwang HP, Kim JR. Functional outcomes of Gartland III supracondylar humerus fractures with early neurovascular complications in children: A retrospective observational study. Medicine (Baltimore). 2017; 96(25): e7148.
DOI
|
Google Scholar
Downloads
Download data is not yet available.
Abigamika, S., Astawa, P., Aryana, I. W., Maharjana, M. A., & Suyasa, I. K. (2023). Differences in Carrying Angle, Baumann’s Angle, Anterior Humeral Line and Dash Score between Children in the Age Group of Less than 5 Years and over 5 Years at 3 Months Post Open Reduction Internal Fixation Criss-Cross Wire Fracture Supracondylar Humerus Gartland Type III. European Journal of Medical and Health Sciences, 5(3), 4–8. https://doi.org/10.24018/ejmed.2023.5.3.1748
Search Panel
Most read articles by the same author(s)
-
Kadek Gede Bakta Giri,
I Ketut Suyasa,
I. G. N. Wien Aryana,
A. A. Wiradewi Lestari,
I Wayan Juli Semadi,
Administration of Recombinant Platelet Derived Growth Factor-Bb (PDGF-Bb) Intrafracture on Shaft Femur Rat Wistar Performed Osteotomy and Intramedullary Wire Improves Healing Process of Fractures, Collagen Type I And III Levels , European Journal of Medical and Health Sciences: Vol. 4 No. 5 (2022) -
Rizki Zainuraditya,
I Wayan Suryanto Dusak,
I Ketut Suyasa,
I Gede Eka Wiratnaya,
Differences in the Levels of Total Volatile Organic Compound (TVOC) and Formaldehyde in Cigarette Smoke and Electrocautery Produced Smoke in Orthopaedic Surgery at IGNG Ngoerah (Sanglah) Denpasar General Hospital , European Journal of Medical and Health Sciences: Vol. 4 No. 6 (2022) -
I Dewa Gede Bracika Damma Prasada,
I Wayan Suryanto Dusak,
I. G. N. Wien Aryana,
I. G. L. N. A. Artha Wiguna,
I Ketut Suyasa,
VAS Scores, Pain-Free Duration, Range of Motion, and IL-6 Levels are Better in Adductor Canal Block Compared to Genicular Nerve Block in Patients with Chronic Pain of Degenerative Disease of the Knee Joint , European Journal of Medical and Health Sciences: Vol. 5 No. 2 (2023) -
Agung Gde Duta Maha Putra,
I Ketut Suyasa,
Made Bramantya Karna,
Decreased IL-6 Levels more than 9,46 pg/ml and TNF-α Levels more than 14,43 pg/ml as Predictors of Functional Outcome of Oxford Knee Score 6 Weeks Post Total Knee Arthroplasty in Kellgren-Lawrence Grade IV Osteoarthritis Patients , European Journal of Medical and Health Sciences: Vol. 4 No. 6 (2022) -
I Gusti Lanang Ngurah Agung Artha Wiguna,
Ketut Gede Mulyadi Ridia,
I Ketut Suyasa,
Ida Bagus Gede Arimbawa,
I Gusti Ngurah Indra Wiguna,
Febyan,
Leonardus William Kuswara,
Severe-Rigid Scoliosis Treated by Two-Staged Procedures: A Case Series , European Journal of Medical and Health Sciences: Vol. 5 No. 1 (2023) -
IGN Bagus Andhika Pramana,
I Ketut Siki Kawiyana,
IGN Wien Aryana,
Putu Astawa,
I Wayan Suryanto Dusak,
I Ketut Suyasa,
Lower Creatine Kinase, IL-6 Levels and Femoral Offset Values Lead to Better Outcome Harris Hip Score Post Bipolar Hemiarthroplasty Surgery Day 14 and Day 30 , European Journal of Medical and Health Sciences: Vol. 5 No. 1 (2023) -
Richard Afandi,
Putu Astawa,
I Gede Eka Wiratnaya,
I Ketut Suyasa,
Elysanti Dwi Martadiani,
I Made Dwijaputra Ayusta,
Made Agus Maharjana,
The Association between Achilles Tendon Elasticity and Pirani Score with The Need for Achilles Tendon Lengthening in Patients with Congenital Talipes Equinovarus Post Ponseti Serial Casting , European Journal of Medical and Health Sciences: Vol. 5 No. 2 (2023) -
I Ketut W. Trisaputra,
K. G. Mulyadi Ridia,
I Ketut Suyasa,
I Gede Eka Wiratnaya,
Yenny Kandarini,
Levels of FGF-23, C-Reactive Protein, Alkaline Phosphatase as A Risk Factor for Renal Osteodystrophy in Chronic Kidney Disease Patients Stage IV-V , European Journal of Medical and Health Sciences: Vol. 5 No. 2 (2023)
