Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures
Objectives. Complications following treatment of supracondylar humerus fractures are typically seen shortly postoperatively. Late complications occurring years after percutaneous pinning are rare but can be indolent and have permanent sequelae. We present cases of children presenting with late deep...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/7915516 |
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| _version_ | 1832560661779972096 |
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| author | Achraf H. Jardaly Ketrick LaCoste Shawn R. Gilbert Michael J. Conklin |
| author_facet | Achraf H. Jardaly Ketrick LaCoste Shawn R. Gilbert Michael J. Conklin |
| author_sort | Achraf H. Jardaly |
| collection | DOAJ |
| description | Objectives. Complications following treatment of supracondylar humerus fractures are typically seen shortly postoperatively. Late complications occurring years after percutaneous pinning are rare but can be indolent and have permanent sequelae. We present cases of children presenting with late deep infections to discuss their diagnosis and treatment. Methods. After institutional review board approval, we retrospectively reviewed records of three children who developed deep infections at least one year after percutaneous pinning of their supracondylar humerus fracture. Patient details and outcomes were analyzed. Radiographs and magnetic resonance imaging were reviewed along with each patient’s clinical course and treatment. Results. We report 3 cases of osteomyelitis and/or septic arthritis presenting at least one year after supracondylar humerus fractures treated with closed reduction and percutaneous pinning. The patients required several irrigation and debridement procedures with placement of antibiotic beads in addition to a prolonged course of antibiotics. Conclusion. Delayed deep infections can occur after closed reduction and percutaneous pinning of supracondylar humerus fractures in children. Vigilance is required to diagnose and treat such occurrences, and prolonged follow-up is needed to monitor for recurrent or intractable infections. |
| format | Article |
| id | doaj-art-479ebcdd5e544d33ae4a41a446e43334 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-479ebcdd5e544d33ae4a41a446e433342025-02-03T01:27:02ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/79155167915516Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus FracturesAchraf H. Jardaly0Ketrick LaCoste1Shawn R. Gilbert2Michael J. Conklin3University of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USAUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USAUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USAUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USAObjectives. Complications following treatment of supracondylar humerus fractures are typically seen shortly postoperatively. Late complications occurring years after percutaneous pinning are rare but can be indolent and have permanent sequelae. We present cases of children presenting with late deep infections to discuss their diagnosis and treatment. Methods. After institutional review board approval, we retrospectively reviewed records of three children who developed deep infections at least one year after percutaneous pinning of their supracondylar humerus fracture. Patient details and outcomes were analyzed. Radiographs and magnetic resonance imaging were reviewed along with each patient’s clinical course and treatment. Results. We report 3 cases of osteomyelitis and/or septic arthritis presenting at least one year after supracondylar humerus fractures treated with closed reduction and percutaneous pinning. The patients required several irrigation and debridement procedures with placement of antibiotic beads in addition to a prolonged course of antibiotics. Conclusion. Delayed deep infections can occur after closed reduction and percutaneous pinning of supracondylar humerus fractures in children. Vigilance is required to diagnose and treat such occurrences, and prolonged follow-up is needed to monitor for recurrent or intractable infections.http://dx.doi.org/10.1155/2021/7915516 |
| spellingShingle | Achraf H. Jardaly Ketrick LaCoste Shawn R. Gilbert Michael J. Conklin Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures Case Reports in Orthopedics |
| title | Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures |
| title_full | Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures |
| title_fullStr | Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures |
| title_full_unstemmed | Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures |
| title_short | Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures |
| title_sort | late deep infections complicating percutaneous pinning of supracondylar humerus fractures |
| url | http://dx.doi.org/10.1155/2021/7915516 |
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