![]() Perioperative ketorolac is also associated with reduced LOS following CRPP for supracondylar humerus fractures and offers significant cost savings opportunities. Closed reduction and percutaneous pinning (CRPP). The complementary administration of ketorolac reduces postoperative pain and opioid use in children with displaced supracondylar humerus fractures. Supracondylar fractures of humerus account for 5070 of fractures around the elbow in children2 and. There was no difference in the 90-day complication rate between patient groups (P=0.905). Copyright 2021 Wolters Kluwer Health, Inc. Ketorolac administration was associated with 40.4% lower inpatient hospitalization cost compared to control patients, providing a 33.8 times return on investment. Retrospective review of the incidence of infection in closed reduction and percutaneous pinning of supracondylar humerus fractures found no difference between patients who received preoperative antibiotics and those who did not receive preoperative antibiotics. Mean postoperative length-of-stay (LOS) was 50.0% longer for control patients (20.4☑1.3 h) than the ketorolac patients (13.6☘.8 h, P<0.001). Patients in the ketorolac group received a lower number of inpatient oxycodone doses (1.0☐.6) than control patients (1.2☐.5, P=0.003). ![]() Mean pain rating at 0 to 29 minutes postoperatively was lower in the ketorolac group (0.7☑.9) than in controls (1.4☒.6, P=0.017), as well as at 30 to 120 minutes postoperatively (1.1☒.3 and 1.7☒.8, respectively, P=0.036), as seen in Figure 1. Age (mean, 6.2☒.4 y), sex ratio (M:F, 1.28:1), operative time, and number of pins used were equivalent between groups. In total, 342 patients were studied including 114 cases and 228 controls. Analysis included 2-tailed Mann-Whitney U and χ tests. Data abstraction included demographic and perioperative details including inpatient Wong-Baker FACES pain ratings and analgesic requirements. Patients that received ketorolac perioperatively (cases) were randomly matched 1:2 by sex and age (☑ y) with patients that did not receive ketorolac (controls). ![]() Retrospective case-control investigation of children (aged, 1 to 14) treated with CRPP for closed, modified Gartland type III extension-type SCH fractures at a single children's hospital between 20. Perioperative administration of ketorolac in children undergoing closed reduction and percutaneous pinning (CRPP) for displaced supracondylar humerus (SCH) fracture may decrease pain, reduce opioid requirements, and decrease hospitalization costs. Conclusion: Close reduction and percutaneous fixation with K-wire in Gartland III fracture in children is safe and effective treatment method with minimal hospital stay and less complications.There is a need for improved opioid stewardship in orthopedic surgery through multimodal analgesia strategies. One patient ulnar nerve injury, after 3 months nerve explored that was contused, symptoms resolved afterwards. According to Flynn’s criteria cosmetic results were excellent in 54 (90%) and good in 6 (10%) patients and functional results were excellent in 54 (90%), good in 4(7%), fair in 2 (2%) and poor in 1(1%) patient. All patients are of extension type fracture. Right side was involved in 37(62%) and left side was involved in 23 (38%) patients. ![]() 42 (70%) boys and 18 (30%) girls with age ranging between 2 to 10 years. Results: All the 60 children with Gartland type III supracondylar humerus fracture included in this study. ![]() Clinical results were evaluated using the Flynn’s criteria. Material & methods: 60 children sustaining a Gartland type III supracondylar humerus fractures less than 1 week old that was treated by closed reduction and percutaneous pinning. Setting: Department of Orthopedics Civil Hospital Karachi. Objectives: The objective of this study is to assess the functional outcome of close reduction and percutaneous K- wire fixation in supracondylar humeral fracture (SCHF) Gartland type III fractures in children. Supracondylar Humerus fracture (SCHF), closed reduction and percutaneous pinning (CRPP), Open reduction internal fixation (ORIF) Abstract Jinnah Postgraduate Medical Center, Karachi.įatima Memorial College of Medicine and Dentistry, Lahore. Dow University of Health Sciences Civil Hospital Karachi. ![]()
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