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Joshua M Abzug - One of the best experts on this subject based on the ideXlab platform.
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the safety and benefits of the semisterile technique for closed reduction and Percutaneous Pinning of pediatric upper extremity fractures
Hand, 2019Co-Authors: Charles J Blevins, Nathan N Ohara, Joshua M AbzugAbstract:Background: Closed reduction and Percutaneous Pinning (CRPP) is traditionally performed following full surgical prep and draping. The semisterile technique utilizes minimal prep and draping, which ...
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the use of the semi sterile technique for closed reduction and Percutaneous Pinning crpp of upper extremity fractures in pediatric patients
Pediatrics, 2018Co-Authors: Charles J Blevins, Joshua M AbzugAbstract:Purpose Closed reduction and Percutaneous Pinning (CRPP) is traditionally performed following full surgical prep and draping, which can be inefficient and wasteful of materials. The semi-sterile technique has been shown to have no difference in infection or complication rates when utilized for pediatric supracondylar humerus fractures. The purpose of this study was to establish the use of the semi-sterile technique for CRPP procedures of all pediatric upper extremity fractures. …
Charles J Blevins - One of the best experts on this subject based on the ideXlab platform.
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the safety and benefits of the semisterile technique for closed reduction and Percutaneous Pinning of pediatric upper extremity fractures
Hand, 2019Co-Authors: Charles J Blevins, Nathan N Ohara, Joshua M AbzugAbstract:Background: Closed reduction and Percutaneous Pinning (CRPP) is traditionally performed following full surgical prep and draping. The semisterile technique utilizes minimal prep and draping, which ...
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the use of the semi sterile technique for closed reduction and Percutaneous Pinning crpp of upper extremity fractures in pediatric patients
Pediatrics, 2018Co-Authors: Charles J Blevins, Joshua M AbzugAbstract:Purpose Closed reduction and Percutaneous Pinning (CRPP) is traditionally performed following full surgical prep and draping, which can be inefficient and wasteful of materials. The semi-sterile technique has been shown to have no difference in infection or complication rates when utilized for pediatric supracondylar humerus fractures. The purpose of this study was to establish the use of the semi-sterile technique for CRPP procedures of all pediatric upper extremity fractures. …
Haluk Agus - One of the best experts on this subject based on the ideXlab platform.
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how safe is the semi sterile technique in the Percutaneous Pinning of supracondylar humerus fractures
Turkish journal of trauma & emergency surgery, 2016Co-Authors: Ali Turgut, Önder Kalenderer, Burak Onvural, Cemal Kazimoglu, Tayfun Bacaksiz, Haluk AgusAbstract:BACKGROUND: The purpose of the present study was to evaluate safety and efficiency of the semi-sterile technique used in recent years in treatment of pediatric supracondylar humeral fractures (SHF). METHODS: Total of 712 patients who were treated for SHF via closed reduction and Percutaneous fixation with semi-sterile technique were enrolled in present study. Patients were evaluated for postoperative infection and other complications. Clinical and radiological assessments were also made. RESULTS: It was found that there were 52 (7.3%) pin tract infections, which responded to oral antibiotic administration and pin care without need for early pin removal (before 3 weeks). There were no deep infections. Loss of reduction was observed in 82 patients (11.5%). There were 59 iatrogenic nerve injuries (8.3%), of which 52 (7.3%) were ulnar palsy. Clinically apparent cubitus varus was observed in 29 (4.1%) patients. CONCLUSION: Though semi-sterile technique is an effective treatment in closed Percutaneous Pinning of SHF, increased pin tract infection risk is a matter of concern.
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how should one treat iatrogenic ulnar injury after closed reduction and Percutaneous Pinning of paediatric supracondylar humeral fractures
Injury-international Journal of The Care of The Injured, 2008Co-Authors: Önder Kalenderer, Ali Reisoglu, Levent Surer, Haluk AgusAbstract:Summary Objective The purpose of this study was to assess iatrogenic ulnar nerve injuries after supracondylar humeral fractures treated with closed reduction and Percutaneous Pinning. Methods The series consisted of 473 children. All patients were treated with closed reduction and Percutaneous Pinning. Neurological examination performed immediately after the operation revealed 25 ulnar nerve injuries (5.2%) in patients who had completely normal neurological findings in the preoperative period. Electromyographic examinations were performed at 6 and 12 weeks postoperatively in patient with ulnar nerve lesions. Results The mean age was 6 years (4–8 years). The mean hospitalisation time was 2 days and the mean follow-up time was 30.8 months (17–63 months). Twenty-two patients with electromyogram showed partial denervation and conduction blocks at the elbow at 6 weeks. Regenerative electromyogram findings were found at 12 weeks. Sensory function in all patients had returned at a mean of 2 months (1–4 months) while motor function had returned at a mean of 5.4 months (1–7 months). Unusually all patients had complete return of nerve function and full motion in their elbows. Conclusion We evaluated the results of 473 patients and to our knowledge this is the largest series in the literature. Although the rate of ulnar nerve injuries (5.2%) is comparable, the number of the patients ( n : 22) is the largest in the literature and may allow us to draw stronger conclusions. In our opinion, if ulnar nerve injury is detected after the operation, patients should be followed up for 7 months without intervention.
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Closed reduction and Percutaneous Pinning results in children with supracondylar humerus fractures
Acta Orthopaedica et Traumatologica Turcica, 1999Co-Authors: Haluk Agus, Önder Kalenderer, Cemil KayaliAbstract:26 patients were included in this study. Patients with supracondylar humerus extension type III fractures were treated by closed reduction and Percutaneous Pinning under image intensifier within emergency conditions. Mean age of our 26 cases was 8.5 years(3-14 years). Mean follow up period is about 17.7 months; patients were evaluated by Flynn’s criteria. According to this criteria; 100% satisfactory clinical results and 96% satisfactory radiological results were obtained. It is proved statisticaly that the reduction which is achived was maintained by comparing the early post op X-rays of injured elbows with the radiological findings of uninjured elbows of the same patients.As a result it is concluded that closed reduction and Percutaneous Pinning is one of the effective treatment method for the supracondylar humerus fractures in children.
Önder Kalenderer - One of the best experts on this subject based on the ideXlab platform.
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The Influence of Resident Level of Training on Fluoroscopy Time in Pediatric Supracondylar Humeral Fractures Treated with Closed Reduction and Percutaneous Pinning.
Cureus, 2018Co-Authors: Önder Kalenderer, Ali Turgut, Emre Bilgin, Serkan Erkus, Fikri Burak Ipci, Tunc P EdizsoyAbstract:: Objective The purpose of this study was to evaluate the effect of resident level of training on fluoroscopy duration in pediatric supracondylar humeral fractures treated with closed reduction and Percutaneous Pinning (CRPP). Methods After classifying the surgeons according to their seniorities, the duration of fluoroscopy time of 80 patients with extension type III supracondylar fractures during reduction and Pinning was recorded. Results The time duration of reduction procedures was similar in all groups with respect to the surgical experience; however, time durations of Percutaneous Pinning procedures were found statistically different between groups (p=0.042). Conclusion Surgical experience is very important in the management of supracondylar humeral fractures in children, especially in Percutaneous Pinning rather than closed reduction.
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how safe is the semi sterile technique in the Percutaneous Pinning of supracondylar humerus fractures
Turkish journal of trauma & emergency surgery, 2016Co-Authors: Ali Turgut, Önder Kalenderer, Burak Onvural, Cemal Kazimoglu, Tayfun Bacaksiz, Haluk AgusAbstract:BACKGROUND: The purpose of the present study was to evaluate safety and efficiency of the semi-sterile technique used in recent years in treatment of pediatric supracondylar humeral fractures (SHF). METHODS: Total of 712 patients who were treated for SHF via closed reduction and Percutaneous fixation with semi-sterile technique were enrolled in present study. Patients were evaluated for postoperative infection and other complications. Clinical and radiological assessments were also made. RESULTS: It was found that there were 52 (7.3%) pin tract infections, which responded to oral antibiotic administration and pin care without need for early pin removal (before 3 weeks). There were no deep infections. Loss of reduction was observed in 82 patients (11.5%). There were 59 iatrogenic nerve injuries (8.3%), of which 52 (7.3%) were ulnar palsy. Clinically apparent cubitus varus was observed in 29 (4.1%) patients. CONCLUSION: Though semi-sterile technique is an effective treatment in closed Percutaneous Pinning of SHF, increased pin tract infection risk is a matter of concern.
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how should one treat iatrogenic ulnar injury after closed reduction and Percutaneous Pinning of paediatric supracondylar humeral fractures
Injury-international Journal of The Care of The Injured, 2008Co-Authors: Önder Kalenderer, Ali Reisoglu, Levent Surer, Haluk AgusAbstract:Summary Objective The purpose of this study was to assess iatrogenic ulnar nerve injuries after supracondylar humeral fractures treated with closed reduction and Percutaneous Pinning. Methods The series consisted of 473 children. All patients were treated with closed reduction and Percutaneous Pinning. Neurological examination performed immediately after the operation revealed 25 ulnar nerve injuries (5.2%) in patients who had completely normal neurological findings in the preoperative period. Electromyographic examinations were performed at 6 and 12 weeks postoperatively in patient with ulnar nerve lesions. Results The mean age was 6 years (4–8 years). The mean hospitalisation time was 2 days and the mean follow-up time was 30.8 months (17–63 months). Twenty-two patients with electromyogram showed partial denervation and conduction blocks at the elbow at 6 weeks. Regenerative electromyogram findings were found at 12 weeks. Sensory function in all patients had returned at a mean of 2 months (1–4 months) while motor function had returned at a mean of 5.4 months (1–7 months). Unusually all patients had complete return of nerve function and full motion in their elbows. Conclusion We evaluated the results of 473 patients and to our knowledge this is the largest series in the literature. Although the rate of ulnar nerve injuries (5.2%) is comparable, the number of the patients ( n : 22) is the largest in the literature and may allow us to draw stronger conclusions. In our opinion, if ulnar nerve injury is detected after the operation, patients should be followed up for 7 months without intervention.
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Closed reduction and Percutaneous Pinning results in children with supracondylar humerus fractures
Acta Orthopaedica et Traumatologica Turcica, 1999Co-Authors: Haluk Agus, Önder Kalenderer, Cemil KayaliAbstract:26 patients were included in this study. Patients with supracondylar humerus extension type III fractures were treated by closed reduction and Percutaneous Pinning under image intensifier within emergency conditions. Mean age of our 26 cases was 8.5 years(3-14 years). Mean follow up period is about 17.7 months; patients were evaluated by Flynn’s criteria. According to this criteria; 100% satisfactory clinical results and 96% satisfactory radiological results were obtained. It is proved statisticaly that the reduction which is achived was maintained by comparing the early post op X-rays of injured elbows with the radiological findings of uninjured elbows of the same patients.As a result it is concluded that closed reduction and Percutaneous Pinning is one of the effective treatment method for the supracondylar humerus fractures in children.
Jeanmarc Feron - One of the best experts on this subject based on the ideXlab platform.
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is Percutaneous Pinning an outdated technique for distal radius fractures
Injury-international Journal of The Care of The Injured, 2019Co-Authors: Markus Rupp, Adeline Cambonbinder, Jeanmarc FeronAbstract:Abstract Distal radius fracture is a very common injury representing 17.5% of all fractures seen in the emergency room. However, the most effective treatment is still unclear and controversially debated. For ten years, we have been facing a true revolution by the increasing use of open reduction and fixation by volar locking plates as an alternative to previous less invasive treatment such as closed reduction and Percutaneous k-wire Pinning. Several meta-analyses have compared the clinical results after closed reduction and Percutaneous Pinning and volar locking plate fixation. Volar locking plate fixation achieves better early functional recovery, better radiological outcomes and less minor complications. However, long-term results were similar for both fixation methods. In addition, worse radiological outcomes and more minor complications after closed reduction and Percutaneous Pinning seem not to be clinically relevant. Interestingly, volar locking plate fixation continues to be a more dominant treatment method compared to Percutaneous Pinning in operative care of distal radius fractures. Surgeon characteristics such as age, profession as well as location and type of the clinic seem to play a role in the decision for the surgical treatment method. It appears that implant cost plays a minor role in treatment choice between closed reduction and Percutaneous Pinning and volar locking plate fixation.