Tratamiento de las fracturas supracondileas de húmero en niños con fijación percutánea

Abstract

Introduction: Supracondylar humerus fractures represent one of the most common injuries in children, comprising approximately 60% of all elbow fractures. These fractures are mainly due to falls on the outstretched hand, which causes an axial force on the elbow and can disrupt the continuity of the humerus in its supracondylar portion. Most of these fractures happen in school children from 5 to 10 years of age. Objective: To investigate the results of treatment of supracondylar humerus fractures in children with percutaneous fixation. Method: It was performed through a qualitative bibliographic review using the PRISMA method based on scientific articles. Results: Supracondylar humerus fractures occur almost exclusively during the first ten years of life, characteristic of the immature skeleton; their frequency decreases as children grow, becoming almost non-existent after 15. In children and adolescents, these fractures are the most common (57.5%); in Peru, they represent 68.9% of elbow fractures in children. There are different treatments to manage this kind of fracture; however, percutaneous fixation, by consensus, is the best treatment for the approach of this pathology, which is proper for children and does not cause other related diseases.