Aims. Management of displaced paediatric
Aims.
We report 33 cases of femoral
Aims. We aimed to identify the pattern of nerve injury associated with
paediatric
Aims. We set out to determine if there is a difference in perioperative outcomes between early and delayed surgery in paediatric supracondylar humeral fractures in the absence of vascular compromise through a systematic review and meta-analysis. Materials and Methods. A literature search was performed, with search outputs screened for studies meeting the inclusion criteria. The groups of early surgery (ES) and delayed surgery (DS) were classified by study authors. The primary outcome measure was open reduction requirement. Meta-analysis was performed in the presence of sufficient study homogeneity. Individual study risk of bias was assessed using the Risk of Bias in Non-Randomised Studies – of Interventions (ROBINS-I) criteria, with the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) criteria used to evaluate outcomes independently. Results. A total of 12 studies met the inclusion criteria (1735 fractures). Pooled mean time to surgery from injury was and 10.7 hours for ES and 91.8 hours for DS. On meta-analysis there was no significant difference between ES versus DS for the outcome of open reduction requirement. There was also no significant difference for the outcomes: Iatrogenic nerve injury, pin site infection, and re-operation. The quality of evidence for all the individual outcomes was low or very low. Conclusions. There is no evidence that delaying
The aim of this retrospective multicentre study was to report the continued occurrence of compartment syndrome secondary to paediatric supracondylar humeral fractures in the period 1995 to 2005. The inclusion criteria were children with a closed, low-energy
It is unclear whether there is a limit to the amount of distal bone required to support fixation of
Between January 1995 and December 2000, 112 children with a closed displaced
We examined differences in the rate of open reduction, operating time, length of hospital stay and outcome between two groups of children with displaced
We compared two management strategies for the perfused but pulseless hand after stabilisation of a Gartland type III
Recent reports have suggested that a delay in the management of type-III
We describe a method of pinning extension
We tested the hypothesis that children who sustain a
A series of 26 children was referred to our specialist unit with a ‘pink pulseless hand’ following a
Filling the empty holes in peri-articular locking
plates may improve the fatigue strength of the fixation. The purpose of
this in vitro study was to investigate the effect
of plugging the unused holes on the fatigue life of peri-articular distal
femoral plates used to fix a comminuted
Symptoms due to a
This annotation discusses the findings of two papers in the current issue describing the management of the neurovascular complications of
In 1980, we developed a specially designed brace for treating
Between 1998 and 2002, 37 neuropathies in 32 patients with a displaced
We performed an audit of 71 children with consecutive displaced, extension-type