PMID- 29892587
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2255-4971 (Print)
IS  - 2255-4971 (Electronic)
IS  - 2255-4971 (Linking)
VI  - 53
IP  - 3
DP  - 2018 May-Jun
TI  - Trans-olecranon fossa four-cortex purchase lateral pinning in displaced 
      supracondylar fracture of the humerus - a prospective analysis in 48 children.
PG  - 342-349
LID - 10.1016/j.rboe.2017.03.014 [doi]
AB  - OBJECTIVE: The current study aims at a functional analysis of trans-olecranon 
      lateral pinning for displaced supracondylar fracture of the humerus (SCFH) in 
      children. METHODS: A prospective study of 48 children (30 males, 18 females; mean 
      age: 7.4 years) with displaced SCFH was treated at this institution with modified 
      technique from March 2011 to September 2014. Cases were selected on the basis of 
      inclusion criteria. The functional outcome was assessed clinically by modified 
      Flynn's criteria along with achievement of full range of motion. RESULTS: All 48 
      children with a mean follow up of 20 months (range: 6-26 months) were assessed. 
      All fractures united well. With modified Flynn's criteria, results were excellent 
      in 40 children (83.3%), good in six children (12.5%), and fair in two children 
      (4.2%). There were no poor results. Preoperative nerve palsies seen in four 
      children recovered at ten weeks. Full range of motion was achieved on an average 
      of 20 days after K-wire removal and no new post-operative nerve palsies were 
      noted. CONCLUSION: The modified trans-olecranon fossa four-cortex purchase 
      (TOF-FCP) technique was promising in all cases of unstable SCFH without the 
      complications of loss of reduction or iatrogenic ulnar nerve injury. This 
      technique is simple, safe, and reproducible, with good clinical results in this 
      type of fracture.
FAU - Kasirajan, Saravanan
AU  - Kasirajan S
AD  - Department of Orthopaedics, Vinayaka Missions Medical College and Hospital, 
      Karaikal, India.
FAU - Govindasamy, Rajesh
AU  - Govindasamy R
AD  - Department of Orthopaedics, Vinayaka Missions Medical College and Hospital, 
      Karaikal, India.
FAU - Sathish, Bhava Ramalingam Jawaharlal
AU  - Sathish BRJ
AD  - BRJ Ortho Centre and Mak Hospital, Coimbatore, India.
FAU - Meleppuram, Jimmy Joseph
AU  - Meleppuram JJ
AD  - Department of Orthopaedics, Vinayaka Missions Medical College and Hospital, 
      Karaikal, India.
LA  - eng
PT  - Journal Article
DEP - 20170331
PL  - Brazil
TA  - Rev Bras Ortop
JT  - Revista brasileira de ortopedia
JID - 101660959
PMC - PMC5993884
OTO - NOTNLM
OT  - Child
OT  - Fracture fixation, internal
OT  - Humeral fractures
OT  - Olecranon process/injuries
EDAT- 2017/03/31 00:00
MHDA- 2017/03/31 00:01
PMCR- 2017/03/31
CRDT- 2018/06/13 06:00
PHST- 2017/01/05 00:00 [received]
PHST- 2017/02/23 00:00 [accepted]
PHST- 2018/06/13 06:00 [entrez]
PHST- 2017/03/31 00:00 [pubmed]
PHST- 2017/03/31 00:01 [medline]
PHST- 2017/03/31 00:00 [pmc-release]
AID - S2255-4971(17)30040-X [pii]
AID - 10.1016/j.rboe.2017.03.014 [doi]
PST - epublish
SO  - Rev Bras Ortop. 2017 Mar 31;53(3):342-349. doi: 10.1016/j.rboe.2017.03.014. 
      eCollection 2018 May-Jun.