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BioMed Research International
Volume 2017 (2017), Article ID 2803790, 5 pages
https://doi.org/10.1155/2017/2803790
Clinical Study

Analysis of Early Neurovascular Complications of Pediatric Supracondylar Humerus Fractures: A Long-Term Observation

Department of Pediatric Traumatology and Orthopedy and Department of Pediatric Surgery and Urology, Silesian Medical University, Katowice, Poland

Correspondence should be addressed to Ryszard Tomaszewski

Received 19 December 2016; Accepted 14 February 2017; Published 7 March 2017

Academic Editor: Nikolaos K. Kanakaris

Copyright © 2017 Ryszard Tomaszewski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Analysis of early vascular and nerve complications of supracondylar humerus fractures in children. Material and Methods. 220 children hospitalized in the Pediatric Trauma-Orthopedic Department in the years 2004–2014. The group consisted of 143 males and 77 females. Results. Acute neurovascular complications occurred in 16.81% of patients with displaced supracondylar fracture (37 children). Nerve damage was found in 10% of patients with displaced fracture (22 children). The most injured nerve was median nerve; this complication occurred in 15 patients (68.18%). The total nerve function returned after average of 122 days (0–220 days after surgery). Symptoms of vascular injury occurred in 7.7% children with displaced fracture (17 children). Conclusions. In children with supracondylar fracture the most often injured nerve is median nerve. The incidence of vascular and nerve complications positively correlates with the progression of fracture according to Gartland classification.