Time of surgery and surgeon level in supracondylar humerus fractures in pediatric patients:A retrospective study  

作　　者：Ibrahim A Albrahim Ammar K AlOmran Dalal A Bubshait Yaser Tawfeeq Arwa Alumran Jaffar Alsayigh Ammar Abusultan Abdulraheem Altalib Zaid A Alzaid Shayma S Alsubaie Mohammad M Alzahrani 

机构地区：[1]Department of Orthopedic,College of Medicine,Imam Abdulrahman Bin Faisal University,Dammam 34212,Saudi Arabia [2]Health Information Management and Technology,College of Public Health,Imam Abdulrahman Bin Faisal University,Dammam 34212,Saudi Arabia

出　　处：《World Journal of Orthopedics》2023年第11期791-799,共9页世界骨科杂志（英文版）

基　　金：Ethical approval was obtained from the Imam Abdulrahman Bin Faisal University review board(IRB-UGS-2019-01-333)。

摘　　要：BACKGROUND Supracondylar humerus fractures account for more than 60%of all elbow fractures and about 1/5 of all pediatric fractures.Unfortunately,these fractures can be associated with risk of complications including neurovascular injuries,malunions and limb deformities.Controversy exists regarding the effect of time of surgical intervention and/or level of surgeon performing the surgery on outcome of these fractures.AIM To determine whether time of surgical intervention and/or surgeon level influence the outcomes of surgically managed pediatric supracondylar humerus fractures.METHODS We retrospectively studied 155 pediatric patients presenting with a supracondylar humerus fracture in a level 1 trauma center from January 2006 to December 2019.The data extracted included demographic data,fracture characteristics,surgical data,and follow-up outcomes.The collected data was analyzed and P values of<0.05 were considered statistically significant.RESULTS Of the cohort,11%of patients had documented post-operative complications,of which the majority occurred in surgeries performed after day time working hours and in fractures requiring open reduction.While the lowest complication rate was found in surgeries performed by pediatric orthopaedic surgeons,this did not reach statistical significance.CONCLUSION In pediatric patients undergoing surgery for supracondylar fractures,we found a higher complication rate when surgeries were not performed during working hours.Surgeon level and training had no significant effect on the risk of post-operative complications.

关 键 词：Supracondylar humerus Fracture Time of surgery LEVEL Complications 

分 类 号：R726.8[医药卫生—儿科]