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Intrainstitutional Changes of the Treatment of Supracondylar Humerus Fracture in Children over a Period of 9 Years.
- Source :
-
Children (Basel, Switzerland) [Children (Basel)] 2023 Dec 26; Vol. 11 (1). Date of Electronic Publication: 2023 Dec 26. - Publication Year :
- 2023
-
Abstract
- To assess changes in treatment modalities for supracondylar humerus fractures (SCHFs) at a large pediatric university hospital, we analyzed patient data from 2014 to 2022. A total of 233 SCHFs treated surgically at our hospital were included. To evaluate postoperative outcome and quality of life, DASH and EuroQol-5D-Y questionnaires were sent to patients. In addition to a significant fluctuation in fracture severity, we found an increase in training interventions (more surgeries were performed by trainees) and a significant decrease in surgery times after 2016. From 2020, there was a significant shift in the type of surgical method away from closed reduction with elastic stable intramedullary nailing (ESIN) and towards closed reduction and crossed K-wire osteosynthesis (CRK). Surgeries performed in the morning and evening hours increased, while those performed in the afternoon and after midnight decreased. After a mean follow-up of 4 years, there was no difference in elbow function between ESIN and open reduction and K-wires (ORK). Treatment with ESIN was equivalent to ORK in terms of function, at least in the medium-term follow-up. In summary, the combination of shifting treatment from SCHF to daytime hours, increasing trainee participation and using cross K-wire fixation instead of ESIN had no negative impact on surgery times. In our setting, these measures have reduced resource utilization and increased efficiency without compromising patient care.
Details
- Language :
- English
- ISSN :
- 2227-9067
- Volume :
- 11
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Children (Basel, Switzerland)
- Publication Type :
- Academic Journal
- Accession number :
- 38255341
- Full Text :
- https://doi.org/10.3390/children11010027