PMID- 34419104
OWN - NLM
STAT- MEDLINE
DCOM- 20220202
LR  - 20220426
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 16
IP  - 1
DP  - 2021 Aug 21
TI  - Efficacy of ultra-early rehabilitation on elbow function after Slongo's external 
      fixation for supracondylar humeral fractures in older children and adolescents.
PG  - 520
LID - 10.1186/s13018-021-02671-4 [doi]
LID - 520
AB  - OBJECTIVE: To evaluate the efficacy of ultra-early rehabilitation on elbow 
      function after Slongo's external fixation for supracondylar humeral fractures in 
      older children and adolescents. METHODS: We retrospectively analyzed clinical 
      data from 49 older children (> 8 years) and adolescents with supracondylar 
      humerus fracture who were treated with Slongo's external fixation in our hospital 
      from January 2016 to August 2020. Twenty-three patients received ultra-early 
      postoperative rehabilitation (rehabilitation group) and 26 patients were not 
      subjected to postoperative rehabilitation (control group). Time to ROM required 
      for functional activity of daily living(ROM-ADL) in both groups was recorded 
      postoperatively. Patients were followed up at 3 and 6 months after surgery to 
      compare the elbow range of motion (ROM) and carrying angle (CA). Postoperative 
      complications were assessed in both groups. Flynn scores and modified Mayo Elbow 
      Performance Scores were also performed. RESULTS: The elbow function at 6 months 
      after surgery was significantly better than that at 3 months in the control group 
      (P = 0.32). Time to ROM-ADL in the rehabilitation group was significantly shorter 
      than that of the control group (P = 0.028). The elbow function, Flynn scores, and 
      modified Mayo scores in the rehabilitation group at 3 and 6 months after surgery 
      were significantly better than that of the control group (P(ROM, 3 months and 
      6 months) = 0.012 vs 0.039; P(Flynn scores, ROM, 3 months and 6 months) = 0.028 
      vs 0.005; P(Flynn scores, CA, 3 months and 6 months) = 0.032 vs 0.026; P(Modified 
      Mayo scores, 3 months and 6 months) = 0.039 vs 0.024; respectively). There were 
      no iatrogenic injuries, secondary fracture displacements, myositis ossificans, 
      elbow deformities, or other complications in either group. One case of nail tract 
      infection occurred in the rehabilitation group and was cured. CONCLUSION: 
      Slongo's external fixation is a safe and effective surgical treatment for 
      supracondylar humeral fractures in children over 8 years old and adolescents. 
      Ultra-early rehabilitation treatment for postoperative children can significantly 
      speed up the recovery after surgery.
CI  - (c) 2021. The Author(s).
FAU - He, Man
AU  - He M
AD  - Department of Rehabilitation, Affiliated Hospital of Chengde Medical College, 
      Chengde, Hebei, 067000, People's Republic of China.
FAU - Wang, Qian
AU  - Wang Q
AD  - Trauma Department of Orthopedics, Affiliated Hospital of Chengde Medical College, 
      36 Nanyingzi Street, Shuangqiao District, Chengde, Hebei, 067000, People's 
      Republic of China.
FAU - Zhao, Jingxin
AU  - Zhao J
AD  - Trauma Department of Orthopedics, Affiliated Hospital of Chengde Medical College, 
      36 Nanyingzi Street, Shuangqiao District, Chengde, Hebei, 067000, People's 
      Republic of China.
FAU - Wang, Yu
AU  - Wang Y
AUID- ORCID: 0000-0003-0492-7543
AD  - Trauma Department of Orthopedics, Affiliated Hospital of Chengde Medical College, 
      36 Nanyingzi Street, Shuangqiao District, Chengde, Hebei, 067000, People's 
      Republic of China. w741366430@126.com.
LA  - eng
GR  - 20210846/department of health of hebei province/
PT  - Case Reports
PT  - Journal Article
DEP - 20210821
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
CIN - J Orthop Surg Res. 2022 Apr 7;17(1):207. PMID: 35392950
MH  - Adolescent
MH  - Child
MH  - *Elbow Joint/diagnostic imaging/surgery
MH  - External Fixators
MH  - Fracture Fixation/adverse effects
MH  - Fracture Fixation, Internal/adverse effects
MH  - Humans
MH  - *Humeral Fractures/diagnostic imaging/surgery
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC8379849
OTO - NOTNLM
OT  - Adolescent
OT  - External fixation
OT  - Older children
OT  - Rehabilitation
OT  - Supracondylar humeral fracture
COIS- The authors declare that they have no competing interests.
EDAT- 2021/08/23 06:00
MHDA- 2022/02/03 06:00
PMCR- 2021/08/21
CRDT- 2021/08/22 20:29
PHST- 2021/06/24 00:00 [received]
PHST- 2021/08/12 00:00 [accepted]
PHST- 2021/08/22 20:29 [entrez]
PHST- 2021/08/23 06:00 [pubmed]
PHST- 2022/02/03 06:00 [medline]
PHST- 2021/08/21 00:00 [pmc-release]
AID - 10.1186/s13018-021-02671-4 [pii]
AID - 2671 [pii]
AID - 10.1186/s13018-021-02671-4 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2021 Aug 21;16(1):520. doi: 10.1186/s13018-021-02671-4.