Displaced supracondylar humeral fractures in children, with closed reduction and percutaneous wire metod of surgical treatment efficacy and duration on the effects of clinical experience

Supracondylar humerus fractures of the distal condyles of the humerus proximal to the olecranon fossa, 1-1.5 cm is defined as the fractures. Treatment of these fractures, the fracture type, soft-tissue lesions and the presence and absence of neurovascular pathologies of various conservative and surgical interventions are available to. The main objective of treatment regardless of type of fracture, functional and cosmetic recovery of a normal elbow, the short-term surgical trauma to the patient and the prevention of iatrogenic complications will occur. Our clinic, the children of displaced supracondylar humerus fractures with closed reduction and percutaneous K-wire osteosynthesis in treatment effectiveness, according to years, depending on experience, clinical experience and surgical time, number manipulation, and postoperative complication rates, we aimed to identify changed.January 2006 - January 2010 between the type 3 extension-type supracondylar humerus fracture and Firat University Hospital of Orthopedics and Traumatology clinic, closed reduction and percutaneous fixation with K wires were examined retrospectively 61 patients treated with method. The patients underwent surgery and postoperative surgical technique described in the detection and treatment follow-up was completed made functional.Patient follow-up files of the patients, surgery, anesthesia, patient follow-up notes and charts are examined over the years found the average duration of surgery. Accordingly, average 37.5 minutes in 2006, of 2007 average 36.1 minutes, 34.2 minutes average of 2008 and as of 2009, the average was 32.1 minutes.As a result, surgical experience and expertise developed over the years depending on the intraoperative manipulation number decreased, the total operation time was shorter, and eventually studies to reduce the incidence of postoperative complications.Key words: Supracondylar fracture of the humerus, Closed reduction and percutaneus K wire, Surgical experience.