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Health-related quality of life after paediatric supracondylar humeral fractures

The Bone & Joint Journal Jun 04, 2020

Liebs TR, Burgard M, Kaiser N, et al. - In the present study, the researchers sought to assess the health-related quality of life (HRQoL) in children with supracondylar humeral fractures (SCHFs), who were treated following the recommendations of the Paediatric Comprehensive AO Classification, and to evaluate whether HRQoL was correlated with AO fracture classification, or fixation with a lateral external fixator vs closed reduction and percutaneous pinning (CRPP). They were able to follow-up on 775 patients (395 girls, 380 boys) who had SCHF from 2004 to 2017. According to results, an AO type I SCHF was most common (327 children; type II: 143; type III: 150; type IV: 155 children). Findings revealed that there was equally excellent mid- and long-term HRQoL when evaluated by the QuickDASH and PedsQL in this cohort of 775 patients in whom nonoperative treatment was selected for AO type I and II fractures and CRPP or a lateral external fixator was used in AO type III and IV fractures. Findings suggest that this study's treatment protocol is unambiguous, avoids open reductions, and is linked to excellent treatment outcomes.

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