PMID- 28735846
OWN - NLM
STAT- MEDLINE
DCOM- 20180530
LR  - 20220410
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 26
IP  - 12
DP  - 2017 Dec
TI  - Gartland types IIB and III supracondylar fractures of the humerus in children: is 
      Blount's method effective and safe?
PG  - 2226-2231
LID - S1058-2746(17)30289-6 [pii]
LID - 10.1016/j.jse.2017.05.018 [doi]
AB  - BACKGROUND: Blount's method is controversial for the treatment of Gartland types 
      IIB and III supracondylar fracture of the humerus (SCFH) in children. The purpose 
      of this study was to evaluate the clinical and radiologic outcomes and the 
      failure and complication rates. METHODS: All types IIB and III SCFH treated with 
      Blount's method from 2003-2013 were included in this retrospective single-center 
      study. Clinical assessment was performed according to Flynn criteria. Baumann 
      angle, anteversion angle, anterior humeral line, and humeroulnar angle were 
      measured for radiographic assessment. RESULTS: Among 447 children with types IIB 
      and III SCHF, 339 were treated according to Blount's method. There were 173 boys 
      (51%), and the mean age was 6.3 years (1-14 years); 71% were type III. Mean time 
      to surgery was 5.7 hours. According to Flynn criteria, results were satisfactory 
      in 91% of cases. No compartment syndrome was encountered. There were 16 (4.7%) 
      secondary displacements requiring surgical revision. Five (1.9%) children 
      developed a cubitus varus deformity. At latest follow-up, the mean Baumann angle 
      was 74.7 degrees  (95% confidence interval, 74.1-75.3), the mean anteversion angle was 
      39.9 degrees  (95% confidence interval, 39.5-40.3), the anterior humeral line was normal 
      in 87.6% of cases, and the mean humeroulnar angle was 8.7 degrees . CONCLUSION: Blount's 
      method is appropriate to manage types IIB and III SCFH, provided anatomic and 
      stable reduction is obtained.
CI  - Copyright (c) 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Pham, Thuy-Trang
AU  - Pham TT
AD  - Service de chirurgie orthopedique et traumatologique pediatrique, Hopital des 
      Enfants, CHU Toulouse, Toulouse, France. Electronic address: 
      francethuytrang@yahoo.fr.
FAU - Accadbled, Franck
AU  - Accadbled F
AD  - Service de chirurgie orthopedique et traumatologique pediatrique, Hopital des 
      Enfants, CHU Toulouse, Toulouse, France.
FAU - Abid, Abdelaziz
AU  - Abid A
AD  - Service de chirurgie orthopedique et traumatologique pediatrique, Hopital des 
      Enfants, CHU Toulouse, Toulouse, France.
FAU - Ibnoulkhatib, Aissa
AU  - Ibnoulkhatib A
AD  - Service de chirurgie orthopedique et traumatologique pediatrique, Hopital des 
      Enfants, CHU Toulouse, Toulouse, France.
FAU - Bayle-Iniguez, Xavier
AU  - Bayle-Iniguez X
AD  - Service de chirurgie orthopedique et traumatologique, Hopital Pierre Paul Riquet, 
      CHU Toulouse, Toulouse, France.
FAU - Wargny, Matthieu
AU  - Wargny M
AD  - Service d'Epidemiologie, CHU Toulouse, Toulouse, France.
FAU - Sales de Gauzy, Jerome
AU  - Sales de Gauzy J
AD  - Service de chirurgie orthopedique et traumatologique pediatrique, Hopital des 
      Enfants, CHU Toulouse, Toulouse, France.
LA  - eng
PT  - Journal Article
DEP - 20170720
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Fracture Fixation, Internal/adverse effects/*methods
MH  - Humans
MH  - Humeral Fractures/diagnostic imaging/*surgery
MH  - Infant
MH  - Male
MH  - Open Fracture Reduction/adverse effects/*methods
MH  - Postoperative Complications/etiology
MH  - Radiology
MH  - Reoperation
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Blount's method
OT  - Gartland IIB and III
OT  - children
OT  - closed reduction
OT  - elbow
OT  - supracondylar fracture
EDAT- 2017/07/25 06:00
MHDA- 2018/05/31 06:00
CRDT- 2017/07/25 06:00
PHST- 2016/07/18 00:00 [received]
PHST- 2016/12/07 00:00 [revised]
PHST- 2017/05/12 00:00 [accepted]
PHST- 2017/07/25 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
PHST- 2017/07/25 06:00 [entrez]
AID - S1058-2746(17)30289-6 [pii]
AID - 10.1016/j.jse.2017.05.018 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2017 Dec;26(12):2226-2231. doi: 10.1016/j.jse.2017.05.018. 
      Epub 2017 Jul 20.