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Simple supracondylar fracture1/8/2024 ![]() ![]() ![]() Note: An alternative method for reduction and fixation is the use of a lateral external fixation technique. However, the modifications described below to the standard closed reduction technique will help in certain settings. The femur is the largest and strongest bone in the body. No single closed reduction technique is going to be universally successful. Supracondylar femoral fracture (also called distal femur fracture) is when the thigh bone breaks at the knee. If the fracture is not fixed with K-wires, the elbow would have to be immobilized in uncomfortable hyperextension. This allows the elbow to be brought back into a flexed position for cast immobilization. Extension Type Supracondylar Humerus Fracture: Guidelines o Type I. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S42.413D. o Consider other injuries distal radius fractures. The outcome of the operation was independent of the time interval between the trauma and the operation as well as the mode of transportation (P > 0. Once a good reduction has been obtained, it is best to stabilize the fracture with two K-wires. ICD 10 code for Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing. Of the 97 supracondylar fractures in this study, 55 (56.7) occurred in boys and 42 (43.3) in girls the average age was 5.8 years. In principle, the maneuver of reduction must be one of hyperextension. ![]() In this type of fracture, the traditional closed reduction maneuver, as described for extension type supracondylar fractures, cannot be used as the traditional hyperflexion of the elbow and dorsal pressure of the distal fragment displaces the fracture farther.īe aware that, in the case of flexion type supracondylar fractures, the posterior periosteum is ruptured whereas the anterior periosteum is mostly intact. Closed reduction of flexion type supracondylar fracturesįlexion type supracondylar fractures account for less than 5% of all supracondylar fractures. ![]()
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