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. 2023 Jan 24:11:1086831.
doi: 10.3389/fped.2023.1086831. eCollection 2023.

Displaced supracondylar femoral fractures: Clinical and radiographic outcomes in children aged 4-10 years treated with Kirschner wires and hip spica cast

Yanhui Jing  1 , Bo Ning  1 , Yueqiang Mo  1 , Dahui Wang  1
Affiliations

Displaced supracondylar femoral fractures: Clinical and radiographic outcomes in children aged 4-10 years treated with Kirschner wires and hip spica cast

Yanhui Jing et al. Front Pediatr. .

Abstract

Background: Supracondylar femoral fractures (SFFs) are uncommon in children but can cause several abnormalities. Although several methods have been employed to treat these fractures, no accepted standard has been established.

Objectives: To investigate the clinical and radiographic outcomes of displaced SFFs treated with Kirschner wires (K-wires) and hip spica casts in children aged 4-10 years.

Methods: We retrospectively reviewed 22 displaced SFFs (mean age, 6.7 years; range, 4-10 years) in patients who underwent surgical treatment with K-wires and hip spica casts. The patients were followed-up frequently, radiographically and clinically between January 2014 and February 2019. Postoperative healing and functional results were elevated according to the radiographic and clinical measures.

Results: Fifteen boys and seven girls were included in this study. All patients except two (91%), underwent closed reduction and stabilization of the fractures. The mean follow-up duration was four years (range, 2-5 years). All fractures showed clinical and radiological evidence of union 4-8 weeks after surgery. At the most recent check-up, all patients reported being pain-free and had returned to normal activities. The mean Knee Society Score was 95.41 at the final follow-up. According to the radiologic criteria, 18 of the 22 patients (81.8%) obtained excellent results, 3 (13.6%) had good results, 1 (4.5%) had a fair result, and none had poor results.

Conclusion: Satisfactory clinical and radiological results can be expected in children aged 4-10 years using a combination of K-wires and hip spica cast fixation.

Keywords: Kirschner wire; displaced; hip spica cast; pediatric; supracondylar femoral fractures.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Outcome in a 4-year-old girl with a displaced supracondylar femoral fracture. Anteroposterior (A) and lateral radiographs (B) obtained before surgery. Intraoperative anteroposterior (C) and lateral radiographs (D). Anteroposterior (E) and lateral radiographs (F) obtained 1 month after surgery, and showing the fracture has healed. Anteroposterior (G) and lateral radiographs (H) obtained 1 year after surgery, which showed limb alignment was normal and epiphyseal development was normal.
Figure 2
Figure 2
A 9-year-old boy, treated with Kirschner wire internal fixation followed by a one-and-one-half spica plaster cast.
See this image and copyright information in PMC

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References

    1. Smith NC, Parker D, McNicol D. Supracondylar fractures of the femur in children. J Pediatr Orthop. (2001) 21:600–3. - PubMed
    1. Kosuge D, Barry M. Changing trends in the management of; children’s fractures. Bone Joint J. (2015) 97-B:442–8. 10.1302/0301-620X.97B4.34723 - DOI - PubMed
    1. Pretell MJ, Rodriguez MJ, Andres EE. Surgical approaches for open reduction and pinning in severely displaced supracondylar humerus fractures in children: a systematic review. J Child Orthop. (2010) 4:143–52. 10.1007/s11832-010-0242-1 - DOI - PMC - PubMed
    1. Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of the literature. Orthop Traumatol Surg Res. (2013) 99:353–60. 10.1016/j.otsr.2012.10.014 - DOI - PubMed
    1. Periasamy K. Supracondylar fracture of the femur in children. WebmedCentral TRAUMA. (2010) 1(9):WMC00594. 10.9754/journal.wmc.2010.00594 - DOI