Pediatric Type III Supracondylar Humeral Fracture (Fracture)

How Many K Wires do we Need in the Surgical Treatment of Pediatric Type III Supracondylar Humeral Fracture?

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).

Study Overview

• Status: Completed
• Conditions: Supracondylar Humerus Fracture; Pediatric Fractures
• Intervention / Treatment: Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires

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 Type: Observational
• Enrollment (Actual): 100

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 16 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients under 16 years.

Description

Inclusion Criteria

• Pediatric Gartland Type 3 supracondylar humeral fracture
• Patients operated between 2010-2013
• Patients under 16 years old

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 Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Other

Number of groups / cohorts

5

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
1 medial 1 lateral K-wire; Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 1 lateral K-wire	Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires; The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.
1 medial 2 lateral K-wire; Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 1 medial 2 lateral K-wire	Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires; The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.
2 medial 1 lateral K-wire; Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 medial 1 lateral K-wire	Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires; The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.
2 lateral K-wire; Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 2 lateral K-wire	Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires; The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.
3 lateral K-wire; Pediatric Gartland Type 3 supracondylar humeral fractures fixed by 3 lateral K-wire	Procedure: Pediatric Garthland Type 3 supracondylar humeral fractures fixed by K-wires; The effects of the different types of K-wire configuration on Pediatric Gartland Type 3 supracondylar humeral fractures were evaluated. Pediatric Gartland Type 3 supracondylar humeral fractures operated under general anesthesia with open or closed reduction. After reduction checked by fluoroscopy K-wires applied in different configurations.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Baumann Angle	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.	postoperative 1. day, 1. month and 12. month
Anterior Humeral Line	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.	postoperative 1. day, 1. month and 12. month
Humero-Capital Angle	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.	postoperative 1. day, 1. month and 12. month

Collaborators and Investigators

• Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2010
• Primary Completion (Actual): December 31, 2013
• Study Completion (Actual): February 20, 2015

Study Registration Dates

• First Submitted: February 7, 2021
• First Submitted That Met QC Criteria: February 28, 2021
• First Posted (Actual): March 3, 2021

Study Record Updates

• Last Update Posted (Actual): March 3, 2021
• Last Update Submitted That Met QC Criteria: February 28, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: pediatric; supracondylar humeral fracture; k wires; closed reduction; pin configuration
• Additional Relevant MeSH Terms: Wounds and Injuries; Arm Injuries; Fractures, Bone; Humeral Fractures
• Other Study ID Numbers: 2014/18/05

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No