Manejo de la fractura supracondílea del humero, con complicación neurológica en el paciente pediátrico.

Abstract

Introduction: Supracondylar Humerus Fractures are the most common type of fractures that occur in the elbow joint during childhood. Objective: to establish the appropriate treatment for supracondylar humerus fractures according to their classification. Materials and Methods: through the bibliographic review of the updated scientific literature extracted from academic-scientific databases of official pages such as PubMed, Elsevier, Google Academic, Scielo, in addition, from official pages of international entities such as WHO, ILO, EU . -SHA and the Journal of the American Society of Orthopedic Surgeons. Conclusion: The Gartland classification is the most frequently used. Then we have Type I: in which the fractures have no displacement. Type II: They have an intact posterior hinge. Type III: Involves a complete displacement. For type I and IIA fractures that do not present neurovascular damage, management will be purely conservative with a closed reduction and immobilization of the limb with a plaster splint for 4 weeks. In the case of Type IIB, III and IV fractures, the established management will be surgical.