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Early Results of Supracondylar Humeral Fractures in Pediatrics treated with Dorgan's Technique
Faculty
Medicine
Year:
2025
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Mohamed Abdelwahab Elsayed Elemem
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig University Medical Journal Zagazig University Medical Journal
Volume:
Keywords :
Early Results , Supracondylar Humeral Fractures , Pediatrics
Abstract:
Background: fixation of supracondylar fractures in children with Kirschner wires (two lateral and one medial wire) increases the risk of ulnar nerve damage. Dorgan's Technique (lateral crossed pin fixation) lowers risk of ulnar nerve injury. This study was conducted for the first time at Zagazig University Hospitals. Our goal was to assess Dorgan's Technique's clinical and radiological results in fixing supracondylar fractures. Methods: This clinical trial was conducted at the Trauma unit in the Orthopedic Surgery Department, Zagazig University Hospitals on 30 children; graded according to Garteland's classification as follow: extension type fracture: in the 28 cases (93%) and flexion type fracture: in the 2 cases (7%). Results: There was intact ulnar nerve and vascular examination pre and post-operative for studied patients. Early Postoperative complications were; radial nerve neuropraxia in 10% of patients, pin tract infection was seen in six patients (20%). Late Complications distributed as following ; rotated, Malunion, Deformity “cubitus varus” were found in in three patients (10%), for each of them. Conclusion: In order to achieve excellent functional, esthetic, and radiological results, the lateral cross-pinning approach offers a biomechanically stable fixation that permits early and safe active elbow movements. Without putting the radial nerve in jeopardy, a correctly executed Dorgan's approach totally eliminates the possibility of iatrogenic ulnar nerve damage.
Author Related Publications
Ahmed Mohamed Abdelwahab Elsayed Elemem, "The triangle tilt procedure for treatment of secondary shoulder deformities in obstetric brachial plexus injury", www.orthopaper.com, 2018
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Management of Blount s disease by external fixator", Zagazig University, 2015
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "V-Shaped Corrective Ulnar Osteotomy in Neglected Monteggia Fracture Dislocation in Children", OMICS, 2017
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Percutaneous reduction and fixation of intraarticular calcaneal fractures: a series with 2-year follow-up", Wolters Kluwer Health, 2018
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Mini-anterior approach for surgical reduction of developmental dysplasia of the hip: a case series", Wolters Kluwer Health, 2021
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Department Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
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Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
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Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
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Ahmed Hatem Farhan Imam, "Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study", Egyptian orthopaedic Journal, 2022
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Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
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