Keywords
surgical treatment
children
Zinder
How to Cite
Abstract
Introduction :
Supracondylar fractures (SCFs) of the humerus are common injuries in pediatric traumatology. Their surgical management is a therapeutic challenge. The objective of this work was to study the surgical management of supracondylar fractures in children at the National Hospital of Zinder (Niger).
Patients and methods :
This was a descriptive study with retrospective data collection over a 12-month period, involving children with CBC and managed surgically. The clinical and therapeutic aspects were studied.
Results :
we collected 27 patients. The mean age was 8.07 years with 81.48% (n=22) male. 70.37% of patients were enrolled in school (n=19). FSC was due to domestic accidents 37.04% (n=10). The left side was the most affected in 62.96% (n=17). Stages 3 and 4 accounted for 85.18% (n=23) of cases. All patients were operated on under general anesthesia by transtricipital posterior approach. After reduction, the fracture was stabilized by a crook or lateral pinout according to Judet. Elbow stiffness and compartment syndrome were the complications found in 18.52% (n=5) and 11.11% (n=3), respectively.
Conclusion :
Supracondylar fractures are frequent and characterized by a delay in diagnosis and treatment in our context. Notwithstanding these difficulties, surgical treatment gives satisfactory results.
References
1. Bhat SA, Farouqi RR, Hassan MU, Kirmani TT, 2522B Kangoo KA, Baba AN. Epidemiological analysis of elbow fractures in Kashmiri children. Indian J Orthop Surg. 2016;2(1):48-51.
2. Duffy S, Flannery O, Gelfer Y, Monsell F. 2523B Overview of the contemporary management of supracondylar humeral fractures in children. Eur J Orthop Surg Traumatol. 2021;31(5):871-81.
3. Mantho Fopa P, Engbang N, Nyanit Bob D, 2524B Bombah F, Bikena B, Bitchoka E, et al. Aspects Épidémiologiques et Lésionnels des Fractures Supracondyliennes de l’Enfant à Douala. Health Sci Dis. 2024;25(2):104-8.
4. Kropelnicki A, Ali AM, Popat R, Sarraf KM. 2525B Paediatric supracondylar humerus fractures. Br J Hosp Med. 2019;80(6):312-6.
5. Pesenti S, Ecalle A, Gaubert L, Peltier E, Choufani 2526B E, Viehweger E, et al. Operative management of supracondylar humeral fractures in children: Comparison of five fixation methods. Orthop Traumatol Surg Res. 2017;103(5):771-5.
6. Vaquero-Picado A, González-Morán G, Moraleda 2527B L. Management of supracondylar fractures of the humerus in children. EFORT Open Rev. 2018;3(10):526-40.
7. Alonso-Llames M. Bilaterotricipital Approach to 2528B the Elbow: Its Application in the Osteosynthesis of Supracondylar Fractures of the Humerus in Children. Acta Orthop Scand. 1972;43(6):479-90.
8. Adamou H, Habou O, Amadou Magagi I, 2529B Akambi Sanoussi K, Magagi A, Koini M, et al. Indications des amputations majeures des membres à l’Hôpital National de Zinder, Niger: Etude rétrospective d’une série de 106 patients. Rev CAMES SANTE. 2017;5(1):10-5.
9. Ouédraogo S, Tinto S, Hema A, Sidibé S, Zouma 2530B R, Ouermi O, et al. Prise en Charge des Fractures Supracondyliennes de l’Humérus de l’Enfant à Bobo-Dioulasso (Burkina Faso). Health Sci Dis. 2024;25(11): 48-51.
10. Mboutol-Mandavo C, Ibenga ML, Ondima IPL, 2531B Miéret JC, Ntsiba H. Traitement Chirurgical des Fractures Supracondyliennes Déplacées de l’Humérus chez l’Enfant au CHU de Brazzaville. Health Sci. Dis: 2020; 21 (5): 72-78.
11. Yamben ma, Guifo ML, Ibrahima F, Ebang MO, 2532B Noutakdie TJ, Tambo FM. Traitement des fractures supracondyliennes de l’humérus chez l’enfant à Yaoundé ; à propos de 27 cas. Rev Afr Chir Spéc. 2018;12(1):27-32.
12. Habou O, Ali O, Adamou H, Amadou MI, 2533B Moustapha H, Ngom G, et al. Fractures diaphysaires déplacées de l’avant-bras chez l’enfant : aspects épidémiologiques, cliniques et thérapeutiques. Rev Afr Chir Spéc. 2014;8(1):5-10.
13. Baidoo PK, Kumah-Ametepey R, Segbefia M, 2534B Buunaaim ADB ib. Treatment and outcomes of pediatric supracondylar humeral fractures in Korle Bu Teaching Hospital. OTA Int Open Access J Orthop Trauma. 2021;4(2):e124-e129.
14. Elachi IC, Yongu WT, Kortor JN, Mue DD, 2535B Abah RO. Characteristics and outcome of paediatric long bone fractures managed in a university teaching hospital. J Biomed Res Clin Pract. 2018;1(2):124-8.
15. Babalola O, Ugwoegbulem O, Izuagba E, 2536B Idowu O, Owoola A. Supracondylar humeral fractures in school children: Incidence and aetiology during school terms and holidays. Niger J Orthop Trauma. 2020;19(2):69-69.
16. Aparicio Martínez JL, Pino Almero L, Cibrian 2537B Ortiz de Anda RM, Guillén Botaya E, García Montolio M, Mínguez Rey MF. Epidemiological study on supracondylar fractures of distal humerus in pediatric patients. Rev Espanola Cirugia Ortop Traumatol Engl Ed. 2019;63(6):394-9.
17. Ali N, Bhat A, Bangroo FA, Muzzafar K, 2538B Dhanda MS, Maqsood M, et al. Epidemiological Study of Paediatric Supracondylar Humeral Fractures: Experience at a Tertiary Care Centre of North India. Int J Biomed Adv Res. 2014;5(9):425.
18. Ekwedigwe HC, Anyaehie UE, Ede O, Anikwe 2539B IA, Eyichukwu GO, Anieze JK. Predictors of early elbow function following paediatric humeral supracondylar fractures: A retrospective analysis. Niger J Clin Pract. 2021;24(11):1590-1595.
19. Micheloni GM, Novi M, Leigheb M, Giorgini A, 2540B Porcellini G, Tarallo L. Supracondylar fractures in children: management and treatment. Acta Bio Medica Atenei Parm. 2021;92(Suppl 3):e2021015.
20. Holt JB, Glass NA, Shah AS. Understanding the 2541B Epidemiology of Pediatric Supracondylar Humeral Fractures in the United States: Identifying Opportunities for Intervention. J Pediatr Orthop. 2018;38(5):e245-251.
21. Mba Mba C, Mezene C, Ondo Edzang S, 2542B Mengue Mba Meyo S, Allogo Obiang J, Ondo N’dong F. Résultats du Traitement Chirurgical des Fractures Supra-Condyliennes de l’Humérus chez l’Enfant au CHU d’Owendo. Health Sci Dis. 2020;21(7):52-5.
22. Abdelraheem M. Open Reduction and Fixation 2543B of Late-Presenting Pediatric Supracondylar Humeral Fractures: A Prospective Study. Orthop Res Rev. 2024; 16:221-231.
23. Sumarwoto T, Hadinoto SA, Pranandaru H, 2544B Andhika H, Рhatomy С, Utomo P. Short-term Follow-up of Early Reconstructive Surgery Management in Neglected Supracondylar Humeral Fractures. Open Access Maced J Med Sci. 2021;9(B):24-8.
24. Shah M, Agashe MV. Supracondylar Humerus 2545B Fractures: Classification Based Treatment Algorithms. Indian J Orthop. 2021;55(1):68-80.
25. Rizk AS. Triceps-sparing approach for open 2546B reduction and internal fixation of neglected displaced supracondylar and distal humeral fractures in children. J Orthop Traumatol. 2015;16(2):105-16.
26. Guo M, Xie Y, Su Y. Open Reduction of 2547B Neglected Supracondylar Humeral Fractures With Callus Formation in Children. J Pediatr Orthop. 2020;40(8):e703-707.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 M Abdou Taofik, O Habou, M Hassane, M Kané Kaka, A Magagi, I Idé Garba, A Abdoul-wahab