| Summary: | Introduction: One of the most common injuries of the distal end of the humerus is through condylar and supraorbital fractures of the humerus, which account for 47.5-80% of all intra-articular fractures of the elbow in children [5,11,20]. Among the injuries of the distal humerus, condylar and supraorbital fractures are the most common and are one of the most common domestic injuries in children aged 3 to 12 years.
Objective: to optimize the diagnosis and treatment tactics in children with complicated supragingival and supracondylar fractures of the humerus using the developed protocol scheme of medical care for victims with supragingival and supraglottic fractures of the humerus.
Materials and methods: Our work is based on a retrospective analysis of the treatment of 255 patients treated at the Lviv City Children's Hospital for the period 2013-2017.
Results: in the first group, conservative treatment was performed in 86 victims, which was 65.6% of the group. In 69 (80.2%) in the future conservative method of treatment remained the main. In 17 (19.8%) victims, the conservative method was replaced by surgery. In the second group, conservative treatment was performed in 72 cases, which was 58.1% of the group, but it was replaced by surgery only in 3 (4.2%) cases. Surgical treatment was performed in 62 (47.3% 0 victims of the first group and in 55 (44.3%) victims of the second group. Analysis of treatment results showed that in the first group complications were observed in 21.0% of cases, and in the second group Among the victims of the first group, anatomical complications were noted in 38.4%, and in the second group they were not present at all.Functional complications also prevailed in the first group, which was found in almost twice as often as in the second group. treatment in the first group was 9.2 ± 0.5 days, in the second group - 6.5 ± 0.4 days.
Conclusions: Negative results of treatment are caused by the prevalence of complications of fractures of the distal humerus, high vulnerability of the post-traumatic elbow joint, as well as the fine anatomical organization of the distal humerus. The introduction of a unified protocol scheme for the treatment of condylar and supragingival fractures of the humerus in pediatric patients has significantly improved both the anatomical and functional outcomes of treatment of patients in this category.
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