Preoperative “target marking” on the skin reduces radiation exposure and total surgical duration in surgically treated pediatric supracondylar humerus fractures: a case-control clinical study
Journal of Shoulder and Elbow Surgery, cilt.34, sa.9, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 9
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.jse.2024.12.030
- Dergi Adı: Journal of Shoulder and Elbow Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
- Anahtar Kelimeler: closed reduction, elbow fracture, K-wire, Level III, Pediatric trauma, Retrospective Cohort Comparison, supracondylar humerus fracture, target marking, Treatment Study
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Background: Primary treatment for supracondylar humerus fractures (SCHF) involves a closed reduction and fixation with K-wires. The aim of this study is to investigate whether a target marking of the humerus is effective in reducing operation duration and radiation exposure in surgically treated pediatric SCHF. Methods: Patients treated with a closed reduction and percutaneous pinning for an SCHF between 2019 and 2023 were included. The study data were categorized into 2 groups: group 1 patients underwent closed reduction, followed by outlining the boundaries of the humerus on the skin and subsequent fixation with K-wires (target marking group), whereas group 2 patients underwent closed reduction without outlining (unmarked group). The same K-wire configuration, consisting of 2 lateral and 1 medial crossed pinning, was used. Operation duration and the radiation dose received (in millisieverts) were recorded for each patient and then compared among them. Results: Overall surgical duration was significantly shorter in group 1 (P < .001). A significantly lower radiation dose was required in patients of group 1 to achieve a satisfactory reduction for both fracture types and for the overall patient cohort (P < .001). Conclusions: Enhancing the 3-dimensional perception of the surgeon in pediatric SCHF treated with closed reduction and percutaneous pinning resulted in a reduction of both the operative duration and the radiation dose. A novel method of “target marking” showed a significant reduction in surgical duration and the amount of radiation exposure.