Predictive factors for the development of Gartland type IV supracondylar humerus fractures: a prospective clinical study

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dc.authorid0000-0002-7290-6798en_US
dc.authorid0000-0002-6343-0839en_US
dc.authorid0000-0002-3893-9457en_US
dc.authorid0000-0003-2149-8154en_US
dc.authorid0000-0002-7814-822Xen_US
dc.authorid0000-0002-2999-2141en_US
dc.contributor.authorYiğit, Şeyhmus
dc.contributor.authorAslan, Rıdvan
dc.contributor.authorArslan, Hüseyin
dc.contributor.authorÖzkul, Emin
dc.contributor.authorAtiç, Ramazan
dc.contributor.authorAkar, Mehmet Sait
dc.date.accessioned2023-08-04T07:16:13Z
dc.date.available2023-08-04T07:16:13Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractObjective: This study aimed to identify the preoperative predictive factors for the development of Gartland type IV supracondylar humerus fracture based on the patient characteristic, fracture mechanism, and preoperative radiographic fracture characteristics. Methods: This prospective study included the data of 120 patients with Gartland type III and IV supracondylar humerus fractures treated in a single center from 2020 to 2021. Patients’ age, gender, height/weight percentile values, injury mechanisms, the proximity of fracture fragment to the skin (i.e., dimple sign), and time from trauma to surgical treatment were recorded. In the preoperative radiographs, the degree of extension or flexion deformity between fracture fragments in the sagittal plane, varus/valgus angulation between fracture fragments in the coronal plane, the amount of translation (medial or lateral) in the coronal plane, and the amount of osseous apposition between fracture fragments in the coronal plane were evaluated. With the authors’ consensus, the patients were divided into 2 groups based on the presence of multidirectional instability during the intraoperative reduction: group 1 (Gartland type III; 99 patients) and group 2 (Gartland type IV; 21 patients). Fixation of the fractures was then completed. Results: Significant differences were observed between groups in the valgus/varus angle and amount of osseous apposition (P < .001). Although no significant difference was found in terms of translation amount between the groups (P=.088), there was a significant correlation with medial translation in type IV fractures (P < .001). The correlation between the results and the groups was checked with Spearman’s test. Medial translation (r=0.352), varus or valgus angulation (r=0.616), and osseous apposition (r=0.433) exhibited a positive correlation. The probability of type IV fracture was modeled for the preoperative parameters using binary logistic regression. The regression analysis showed that the diagnosis of type IV supracondylar fractures could be predicted, if varus or valgus angulation was more than 25.5° (81% sensitivity, 85% specificity, odds ratio=1.725; 95% CI=1.170-2.541, P=.001, r=0.616) and if the amount of osseous apposition was more than 9.5 mm (85% sensitivity, 81% specificity, odds ratio=1.471; 95% CI=0.714-3.029, P=.001, r=0.433) in the preoperative radiographs. There was also a significant correlation between medial translation (varus angulation) (P < .001, r=0.352), age (P=.019, r=0.255), and patients with more than 90 height/weight percentile values (P < .001, r=0.508) with the possibility to have Gartland type IV fractures. Conclusion: This study has found some preoperative factors that may be relevant for type IV Gartland fractures. Height/weight values greater than the 90 percentile, varus or valgus angulation greater than 25.5°, bone apposition values greater than 9.5mm, medial translation values greater than 11mm, and older than eight years patients type IV fractures were more common in such patients. If surgeons can more accurately diagnose a Gartland type IV fracture preoperatively, the surgeon can more accurately inform the patient and plan better treatment.en_US
dc.identifier.citationYiğit, Ş., Arslan, R., Arslan, H., Özkul, E., Atiç, R. ve Akar, M. S. (2022). Predictive factors for the development of Gartland type IV supracondylar humerus fractures: a prospective clinical study. Acta Orthopaedica et Traumatologica Turcica, 56(6), 361-365.en_US
dc.identifier.doi10.5152/j.aott.2022.22009
dc.identifier.endpage365en_US
dc.identifier.issn1017-995X
dc.identifier.issn2589-1294
dc.identifier.issue6en_US
dc.identifier.pmid36567537
dc.identifier.scopus2-s2.0-85144583603
dc.identifier.scopusqualityQ2
dc.identifier.startpage361en_US
dc.identifier.trdizinid1173893
dc.identifier.urihttps://www.aott.org.tr/en/predictive-factors-for-the-development-of-gartland-type-iv-supracondylar-humerus-fractures-a-prospective-clinical-study-168294
dc.identifier.urihttps://hdl.handle.net/11468/12427
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1173893
dc.identifier.volume56en_US
dc.identifier.wosWOS:000926126700003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorYiğit, Şeyhmus
dc.institutionauthorAslan, Rıdvan
dc.institutionauthorArslan, Hüseyin
dc.institutionauthorÖzkul, Emin
dc.institutionauthorAtiç, Ramazan
dc.institutionauthorAkar, Mehmet Sait
dc.language.isoenen_US
dc.publisherAves Yayıncılıken_US
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLevel IIen_US
dc.subjectDiagnostic studyen_US
dc.titlePredictive factors for the development of Gartland type IV supracondylar humerus fractures: a prospective clinical studyen_US
dc.titlePredictive factors for the development of Gartland type IV supracondylar humerus fractures: a prospective clinical study
dc.typeArticleen_US

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