A novel percutaneous intrafocal reduction technique for brachialis penetrating irreducible type 4 supracondylar humerus fracture

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dc.authoridKaya Turan / 0000-0002-0547-995Xen_US
dc.authoridHaluk Çabuk / 0000-0002-1413-2149en_US
dc.authorscopusidKaya Turan / 57201721233
dc.authorscopusidHaluk Çabuk / 56400866300
dc.authorwosidKaya Turan / GSD-1790-2022en_US
dc.authorwosidHaluk Çabuk / AAL-9654-2020en_US
dc.contributor.authorTuran, Kaya
dc.contributor.authorCabuk, Haluk
dc.date.accessioned2022-05-23T13:04:20Z
dc.date.available2022-05-23T13:04:20Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractType 4 supracondylar fractures are challenging to treat. Closed reduction may become impossible due to brachialis muscle penetration and devastating results like a neurovascular injury that may occur during recurrent manipulations. We here report an intra-focal percutaneous reduction technique for maintaining closed reduction. An extensively posterior displaced type 4 supracondylar fracture with a dimple at the antecubital fossa and an extensive ecchymosis is presented. During surgery, we could not obtain closed reduction with the milking maneuver. We inserted an intrafocal K-Wire from the posterior side into the fracture site. With the levering of the wire, the dimple disappeared, after which we maintained the anatomical reduction and fixed the fracture with two lateral K-wires. Neither complication nor residual deformity was observed during postoperative follow-up. To show the exact long-term effects and the safety of this procedure, we need more fractures with brachialis penetration operated on by the described techniqueen_US
dc.identifier.citationTuran K, Çabuk H. A novel percutaneous intrafocal reduction technique for brachialis penetrating irreducible type 4 supracondylar humerus fracture. J Surg Med. 2022;6(3):402-404en_US
dc.identifier.doi10.28982/josam.858760en_US
dc.identifier.endpage404en_US
dc.identifier.issn2602-2079en_US
dc.identifier.issue3en_US
dc.identifier.startpage402en_US
dc.identifier.urihttp://doi.org/: 10.28982/josam.858760
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2725
dc.identifier.volume6en_US
dc.institutionauthorTuran, Kaya
dc.institutionauthorÇabuk, Haluk
dc.language.isoenen_US
dc.publisherDergiParken_US
dc.relation.ispartofJournal of Surgery and Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBrachialis Penetrationen_US
dc.subjectSupracondylaren_US
dc.subjectHumeral Fractureen_US
dc.subjectClosed Reductionen_US
dc.subjectIntrafocal Reductionen_US
dc.titleA novel percutaneous intrafocal reduction technique for brachialis penetrating irreducible type 4 supracondylar humerus fractureen_US
dc.typeReporten_US

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