Fracturas supracondíleas humerales en niños: técnica de enclavado percutáneo transfocal y endomedular (TEPTE)

Abstract

Supracondylar humerus fractures are the most frequent fractures in pediatric age, with
a higher frequency in males compared to females, and they occur at an average age of
6.7 years. In approximately 97% of the cases, the mechanism of injury is indirect trauma
with the elbow extended. For its diagnosis, the clinical presentation, the physical exam
with special evaluation of neurovascular integrity is necessary. It must be completed
with radiographic studies in two 2 projections that include the proximal and distal
joint of the humerus. They are classified according to Gartland. Gartland classification
described four types of extension injury based on degree of displacement. The purpose
of this classification is to allow a treatment algorithm, management and prognosis. The
TEPTE technique, which will be described in this case series, is used to treat Gartland
type II and III fractures (displaced fractures). We will analyze the advantages and
disadvantages of the technique, postsurgical and 3 to 6 weeks postoperatively results,
demonstrating that this technique can be used as a good option because technically it
is not demanding and you can have less risk of neurovascular injury compared to other
techniques.