Evidence map›Paper›PMID 34631185›Full record

ArticleCase reports in orthopedics2021

Late Deep Infections Complicating Percutaneous Pinning of Supracondylar Humerus Fractures.

Achraf H Jardaly, Ketrick LaCoste, Shawn R Gilbert, Michael J Conklin

Abstract readCase Reports
In one paragraph

Article in Case reports in orthopedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Recurrent Infections After Percutaneous Pinning of a Proximal Radius and Ulna Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Achraf H JardalyUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USA.ORCID https://orcid.org/0000-0003-2779-9994
Ketrick LaCosteUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USA.ORCID https://orcid.org/0000-0001-9551-8379
Shawn R GilbertUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USA.ORCID https://orcid.org/0000-0002-0683-3172
Michael J ConklinUniversity of Alabama at Birmingham, Department of Orthopaedics, Birmingham, AL, USA.ORCID https://orcid.org/0000-0001-7966-3816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesComplications following treatment of supracondylar humerus fractures are typically seen shortly postoperatively. Late complications occurring years after percutaneous pinning are rare but can be indolent and have permanent sequelae. We present cases of children presenting with late deep infections to discuss their diagnosis and treatment.

methodsAfter institutional review board approval, we retrospectively reviewed records of three children who developed deep infections at least one year after percutaneous pinning of their supracondylar humerus fracture. Patient details and outcomes were analyzed. Radiographs and magnetic resonance imaging were reviewed along with each patient's clinical course and treatment.

resultsWe report 3 cases of osteomyelitis and/or septic arthritis presenting at least one year after supracondylar humerus fractures treated with closed reduction and percutaneous pinning. The patients required several irrigation and debridement procedures with placement of antibiotic beads in addition to a prolonged course of antibiotics.

conclusionDelayed deep infections can occur after closed reduction and percutaneous pinning of supracondylar humerus fractures in children. Vigilance is required to diagnose and treat such occurrences, and prolonged follow-up is needed to monitor for recurrent or intractable infections.

Identifiers

PMID34631185
PMCPMC8497162

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