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@article{1795202,
author = {Štichhauer, Radek and Preis, Jindřich and Plánka, Ladislav and Turek, Jakub and Urban, Jiří and Horák, Zbyněk and Zeman, Jaroslav and Konečný, Martin and Kopáček, Ivo and Hanák, Filip and Vojta, Jiří and Chrenková, Veronika},
article_location = {Heidelberg},
article_number = {5},
doi = {http://dx.doi.org/10.1007/s00068-021-01794-x},
keywords = {Supracondylar humerus fracture; Children; Pulseless; Pink; Vascular surgery},
language = {eng},
issn = {1863-9933},
journal = {European Journal of Trauma and Emergency Surgery},
title = {Strategy of pulseless pink supracondylar humerus fracture treatment in children: a comparison of two approaches.},
url = {https://link.springer.com/article/10.1007%2Fs00068-021-01794-x},
volume = {48},
year = {2022}
}
TY - JOUR
ID - 1795202
AU - Štichhauer, Radek - Preis, Jindřich - Plánka, Ladislav - Turek, Jakub - Urban, Jiří - Horák, Zbyněk - Zeman, Jaroslav - Konečný, Martin - Kopáček, Ivo - Hanák, Filip - Vojta, Jiří - Chrenková, Veronika
PY - 2022
TI - Strategy of pulseless pink supracondylar humerus fracture treatment in children: a comparison of two approaches.
JF - European Journal of Trauma and Emergency Surgery
VL - 48
IS - 5
SP - 3785-3791
EP - 3785-3791
PB - Springer
SN - 18639933
KW - Supracondylar humerus fracture
KW - Children
KW - Pulseless
KW - Pink
KW - Vascular surgery
UR - https://link.springer.com/article/10.1007%2Fs00068-021-01794-x
N2 - 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.
ER -
ŠTICHHAUER, Radek, Jindřich PREIS, Ladislav PLÁNKA, Jakub TUREK, Jiří URBAN, Zbyněk HORÁK, Jaroslav ZEMAN, Martin KONEČNÝ, Ivo KOPÁČEK, Filip HANÁK, Jiří VOJTA and Veronika CHRENKOVÁ. Strategy of pulseless pink supracondylar humerus fracture treatment in children: a comparison of two approaches. \textit{European Journal of Trauma and Emergency Surgery}. Heidelberg: Springer, 2022, vol.~48, No~5, p.~3785-3791. ISSN~1863-9933. Available from: https://dx.doi.org/10.1007/s00068-021-01794-x.
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