Vascular injury following supracondylar humerus fractures in children

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dc.contributor.authorOzkul, Emin
dc.contributor.authorGem, Mehmet
dc.contributor.authorAlemdar, Celil
dc.contributor.authorArslan, Huseyin
dc.contributor.authorAzboy, Ibrahim
dc.contributor.authorCelik, Velat
dc.date.accessioned2024-04-24T17:27:46Z
dc.date.available2024-04-24T17:27:46Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: The aim of this study was to evaluate the outcomes of the children with absent distal pulses following supracondylar humerus fractures. METHODS: Forty-two pulseless hand patients who were treated due to supracondylar humerus fractures were evaluated retrospectively. The evaluation included symptoms presented at preoperative and postoperative neurological examinations, mechanism of injury, time from injury to presentation, time from injury to surgery, length of hospital stay, and postoperative complications. RESULTS: In 27 patients, radial pulse was palpated following reduction. A stream was identified in ten patients with Doppler, and no stream was identified in two patients. These two patients had no ischemia and they presented with a stream on Doppler one day after the surgery. Immediate vascular exploration was applied in three patients (7%) who retained ischemia after the reduction and was unable to present a stream on Doppler. One patient underwent primary suture, and the other two were managed with saphenous vein graft and primary repair. DISCUSSION: It is vital to re-evaluate patients presenting with a pulseless hand following supracondylar humerus fracture; the ones with no ischemia or ischemic sign should be closely followed, and the ones retaining ischemic signs should be managed with primary vascular repair.en_US
dc.identifier.doi10.5505/tjtes.2015.83720
dc.identifier.endpage89en_US
dc.identifier.issn1306-696X
dc.identifier.issue1en_US
dc.identifier.pmid27135083
dc.identifier.scopus2-s2.0-84958818585
dc.identifier.scopusqualityQ3
dc.identifier.startpage84en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.83720
dc.identifier.urihttps://hdl.handle.net/11468/20187
dc.identifier.volume22en_US
dc.identifier.wosWOS:000369324400014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPulselessnessen_US
dc.subjectSupracondylar Humerus Fracture In Childen_US
dc.subjectVascular Injuryen_US
dc.titleVascular injury following supracondylar humerus fractures in childrenen_US
dc.titleVascular injury following supracondylar humerus fractures in children
dc.typeArticleen_US

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