Newcastle approach for the treatment of supra-intercondylar fractures in children
Salvador, Jordi (Hospital Universitari Vall d'Hebron. Institut de Recerca.)
Nuñez, Jorge H. (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Veloso, Margarita (Universitat de Barcelona. Departament de Cirurgia i Especialitats Medicoquirúrgiques)
Castillón-Bernal, Pablo (Hospital Universitari Vall d'Hebron. Institut de Recerca.)
Anglés Crespo, Francesc (Universitat de Barcelona. Departament de Cirurgia i Especialitats Medicoquirúrgiques)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	The aim of this study is to evaluate the functional results of open reduction using the Newcastle approach and internal fixation for complex intra-articular distal humeral fractures in children through the report of cases. A retrospective case series of patients who underwent open reduction and internal fixation surgery because of a complex intra-articular distal humeral fracture using the Newcastle approach were reviewed. Minimum follow-up was 2 years. Demographic, clinical, and radiological data were analyzed. Also, Mayo Elbow Performance Score and four-point Likert scale were evaluated. 2 children were included in the final analysis. In both fractures, the approach was sufficient for accurate reduction and the functional outcome on both elbows was satisfactory. The Mayo elbow score was 95 points (excellent results) and the five-point Likert scale, both patients were very satisfied with the outcomes. In the radiographic study, no necrosis or secondary deformities were observed. Our study provides evidence that the Newcastle approach is an alternative to perform open reduction in those children supra-intercondylar fractures that cannot be reduced using a close reduction. To our knowledge, there is not previous paper that has reported the used of this approach in the treatment in this kind of fractures.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Child ; Humerus ; T-condylar ; Distal humerus
Publicat a:	Trauma Case Reports, Vol. 25 (january 2020) , ISSN 2352-6440

DOI: 10.1016/j.tcr.2019.100270
PMID: 31989013

6 p, 789.6 KB

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