Management of supracondylar fractures of the humerus in children.

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Abstract

Conflict of interest statement: ICMJE Conflict of interest statement: None declared. 7. J Pediatr Orthop. 2017 Jun;37(4):e233-e237. doi: 10.1097/BPO.0000000000000889. Fracture Classification Does Not Predict Functional Outcomes in Supracondylar Humerus Fractures: A Prospective Study. Ernat J(1), Ho C, Wimberly RL, Jo C, Riccio AI. Author information: (1)*Tripler Army Medical Center, Orthopedic Surgery Service, Honolulu, HI †Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas, TX. BACKGROUND: Few studies have prospectively assessed functional outcomes after the surgical management of supracondylar humerus fractures (SCHFXs) and the relationship between fracture pattern and ultimate patient outcome has never been prospectively evaluated. The purpose of this study was to prospectively evaluate fracture classification and functional outcome in children with extension SCHFXs using validated outcome measures. METHODS: An Institutional Review Board-approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period. Fractures were classified by the treating surgeon using the modified Gartland classification. Functional outcome was assessed at final follow-up using the Pediatric Outcomes Data Collection Instruments (PODCI) and the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcome measure. Patients with flexion-type fractures, multidirectionally unstable fractures and those with