Profile of neglected supracondylar humeral fractures in prof. dr. soeharso orthopaedic hospital surakarta, indonesia (january 2018 - december 2018)
Keywords:Supracondylar humeral fractures, neglected fractures, elbow
Introduction: The supracondylar humeral (SCH) fracture is a fracture that occurs in the distal part of the humeral bone at the level of the condyle, which passes through the olecranon fossa. SCH fracture is the most common fracture in the elbow of children and is usually treated in an emergency setting, whether using close reduction or open reduction, and percutaneous pining. However, the treatment often delayed for various reasons.
Object: This study was to analyze the profile of patients with neglected SCH fractures in Prof. Dr. R Soeharso Orthopaedic Hospital, Surakarta, Indonesia in 2018.
Materials and Method: We retrospectively reviewed the hospital medical records of all admitted patients with neglected SCH fractures from January 2018 to December 2018 in Prof. Dr. Soeharso Orthopaedic Hospital Surakarta.
Results: Eight patients with neglected SCH fractures, 7 males (87%) and 1 female (13%). Seven patients were children and one patient was a young adult. Four cases were extension type and 4 cases were flexion type. In cases of deformities: 5 cases (62%) were varus deformity, 2 cases (25%) were valgus, and 1 case (13%) was s-shape deformity. We did open reduction and inserted k-wires in all patients, 62% (n=5) was lateral approach, 25% (n=2) was posterior approach, and 13% (n=1) was medial approach. The average time the patients seek the treatment was 3.875 weeks, varies starting from 2 weeks - 7 weeks. We compared ROM of the elbow before and after surgery, and found that surgery was able to improve ROM in patients with neglected SCH fractures. However, in some patients, the post-operative ROM cannot be optimal.
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