Does Fracture Reduction Restore Pulse and Perfusion in the Pulseless Supracondylar Humerus Fracture?
Podium No: 592 Friday, February 27, 2009 02:18 PM – 02:24 PM Location: Venetian Hotel Room 3105 Paul D Choi, MD Los Angeles CA Rojeh Melikian, MD Cambridge MA David Lee Skaggs, MD Los Angeles CA Moderator(s): Gregory A Mencio, MD Nashville TN Susan A Scherl, MD Omaha NE The purpose of this study is to determine how often fracture reduction alone restores pulse and vascular perfusion, and to determine if any pre-operative factors predict the need for vascular repair. The purpose of this study is to determine how often fracture reduction alone restores pulse and vascular perfusion, and to determine if any pre-operative factors predict the need for vascular repair. We reviewed 1,255 supracondylar humeral fractures in children treated operatively over 12 years and identified 33 patients (2.6%) who presented without distal pulses. Patients were divided into two groups, those at presentation whose hand was well-perfused (n=24) or poorly-perfused (9). None (0%) of the well-perfused patients u
