Radek Štichhauer1, Jindřich Preis2, Ladislav Plánka3, Jakub Turek3, Jiří Urban4, Zbyněk Horák5, Jaroslav Zeman6, Martin Konečný7, Ivo Kopáček8, Filip Hanák9, Jiří Vojta10, Veronika Chrenková11. 1. Department of Pediatric Surgery and Trauma, University Hospital Hradec Králové, Faculty of Medicine Hradec Kralove, Charles University, Sokolska 581, 500 05, Hradec Králové, Czech Republic. radek.stichhauer@fnhk.cz. 2. Department of Pediatric Surgery and Trauma, University Hospital Hradec Králové, Faculty of Medicine Hradec Kralove, Charles University, Sokolska 581, 500 05, Hradec Králové, Czech Republic. 3. Clinic of Pediatric Surgery, Orthopedics and Trauma, University Hospital, Faculty of Medicine, Masaryk University, Černopolní 9, 61300, Brno, Czech Republic. 4. Department of Trauma Surgery, Hospital České Budějovice, B. Němcové 585/54, 37001, České Budějovice, Czech Republic. 5. Department of Pediatric Surgery, Hospital Pardubice, Kyjevská 44, 53003, Pardubice, Czech Republic. 6. Clinic of Orthopedics and Trauma, University Hospital Pilsen, E. Beneše 1128, 30100, Pilsen, Czech Republic. 7. Department of Pediatric Surgery and Trauma, Hospital Ústí nad Labem, Sociální péče 3316 /12A, 40113, Ústí nad Labem, Czech Republic. 8. Trauma Clinic, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic. 9. Clinic of Pediatric Orthopedics and Trauma, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84, 15006, Prague, Czech Republic. 10. Department of Pediatric Surgery and Trauma, University Hospital Bulovka, Budínova 2, 18000, Prague, Czech Republic. 11. Pediatric Surgery Department, National Institute of Children´s Diseases and Faculty of Medicine, Comenius University, Limbová 1, 83340, Bratislava, Slovak Republic.
Abstract
PURPOSE: The appropriate treatment of pulseless pink supracondylar humerus fractures (SCHF) remains controversial. In this study, the outcomes of two treatment approaches (with and without vascular surgery) were compared. MATERIAL AND METHODS: This was a retrospective multicenter study of patients with pulseless pink SCHFs treated in ten pediatric surgery, trauma, or orthopedics departments in the Czech and Slovak Republic between 2014 and 2018. RESULTS: Of the total 3608 cases of displaced SCHF, 125 had the pulseless pink SCHF. Of those, 91% (114/125) did not undergo vascular surgery and 9% (11/125) underwent vascular surgery. The patients who did undergo vascular surgery had radial artery pulsation restored more frequently in the operating room (73% vs. 36%; p = 0.02), within 6 h (91% vs. 45%; p = 0.004), and within 24 h of surgery (91% vs. 57%; p = 0.05). However, 72 h after surgery, there was no significant difference in palpable radial artery pulsation between the vascular surgery and the non-vascular surgery groups (91% vs. 74%; p = 0.24). Additionally, no significant differences in long-term neurological (9% vs. 22%; p = 0.46) or circulatory (9% vs. 7%; p = 0.57) deficits were found between the two groups. CONCLUSION: While vascular surgery in patients with pulseless pink SCHFs is associated with a more prompt restoration of radial artery pulsation, no statistical significant differences in terms of the restoration of neurological deficits or the risks of long-term neurological or circulatory deficits were found between patients with and without vascular surgery.
PURPOSE: The appropriate treatment of pulseless pink supracondylar humerus fractures (SCHF) remains controversial. In this study, the outcomes of two treatment approaches (with and without vascular surgery) were compared. MATERIAL AND METHODS: This was a retrospective multicenter study of patients with pulseless pink SCHFs treated in ten pediatric surgery, trauma, or orthopedics departments in the Czech and Slovak Republic between 2014 and 2018. RESULTS: Of the total 3608 cases of displaced SCHF, 125 had the pulseless pink SCHF. Of those, 91% (114/125) did not undergo vascular surgery and 9% (11/125) underwent vascular surgery. The patients who did undergo vascular surgery had radial artery pulsation restored more frequently in the operating room (73% vs. 36%; p = 0.02), within 6 h (91% vs. 45%; p = 0.004), and within 24 h of surgery (91% vs. 57%; p = 0.05). However, 72 h after surgery, there was no significant difference in palpable radial artery pulsation between the vascular surgery and the non-vascular surgery groups (91% vs. 74%; p = 0.24). Additionally, no significant differences in long-term neurological (9% vs. 22%; p = 0.46) or circulatory (9% vs. 7%; p = 0.57) deficits were found between the two groups. CONCLUSION: While vascular surgery in patients with pulseless pink SCHFs is associated with a more prompt restoration of radial artery pulsation, no statistical significant differences in terms of the restoration of neurological deficits or the risks of long-term neurological or circulatory deficits were found between patients with and without vascular surgery.
Authors: Pavan Brahmamdam; Mitchell Plummer; J Gregory Modrall; Stephen M Megison; G Patrick Clagett; R James Valentine Journal: J Vasc Surg Date: 2011-05-14 Impact factor: 4.268