Ausência de pulso e perfusão periférica pós redução de fratura supracondiliana em criança
Keywords:
fraturas do úmero; fraturas ósseas; pulso; criança.Abstract
Supracondylar fracture is the most common site in children’s humerus. Surgery is indicated in serious cases avoiding possible sequelae. Impairment of the vascular perfusion of the member is a possible complication, demanding attention of the surgeon. A 9 years old boy with supracondylar extension fracture Gartland III and absence of radial and ulnar pulsesafter closed reduction, as there was not reperfusion of the member, open reduction was performed with surgical exploration and release of the neurovascular bundle. Accordingto the literature,absence of the peripheral pulses after closed reduction leads to surgical exploration and open reduction, this tendency seems to be bigger when associated with angiography or arterial Doppler. As presented by Delniotis et al., the use of arterial Doppler, associated with intraoperative physical examination, leads to open surgical exploration with a good result.
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References
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