Fracture healing stages

Conservative treatment and reduction of extended supracondylar fractures of the humerus. 

 Supracondylar fractures of the humerus are relatively common fractures in children, accounting for about 60% of all elbow fractures in this population. These fractures can be classified into three types based on their displacement and the involvement of the medial and lateral columns of the distal humerus. Type 2 supracondylar fractures are the most common type and typically require closed reduction to ensure proper alignment and function of the elbow joint. In this article, we will discuss the conservative treatment and reduction of an extended supracondylar fracture humerus grade 2.

Conservative Treatment Conservative treatment is often used for less severe cases of supracondylar fractures, including grade 1 and some grade 2 fractures. Conservative treatment typically involves immobilizing the elbow joint with a cast or splint to allow the fracture to heal properly. The patient will also need to rest the affected arm and avoid any activities that could cause further damage. Pain medication may also be prescribed to help manage any discomfort during the healing process.

Reduction of Extended Supracondylar Fracture Humerus Grade 2 In more severe cases of supracondylar fractures, such as an extended supracondylar fracture humerus grade 2, closed reduction may be necessary to restore the alignment of the fractured bone. Closed reduction is a non-surgical procedure that involves manipulating the fractured bone back into its proper position without making any incisions.

The following steps are typically taken during closed reduction of an extended supracondylar fracture humerus grade 2:

1. Anesthesia: The patient will be given local anesthesia to numb the affected area and prevent any pain during the procedure.

2. Manual Manipulation: The surgeon will gently manipulate the fractured bone back into its proper position using manual manipulation techniques. This may involve applying traction or twisting the arm to realign the bone.

3. Imaging: Once the bone is in its proper position, the surgeon will use imaging techniques such as X-rays to confirm that the alignment is correct.

4. Immobilization: After the bone has been realigned, the elbow joint will need to be immobilized with a cast or splint to allow the fracture to heal properly. The patient will also need to rest the affected arm and avoid any activities that could cause further damage.

Follow-Up Care After the reduction of an extended supracondylar fracture humerus grade 2, patients will need to follow up with their surgeon regularly to monitor the healing process. The cast or splint may need to be adjusted or replaced during this time to ensure proper immobilization of the elbow joint. Patients will also need to perform range of motion exercises as directed by their surgeon to prevent stiffness and maintain function of the elbow joint.

In Conclusion Conservative treatment and closed reduction are effective options for treating an extended supracondylar fracture humerus grade 2. Conservative treatment involves immobilizing the elbow joint with a cast or splint, while closed reduction involves manipulating the fractured bone back into its proper position without surgery. Follow-up care is essential to ensure proper healing and restoration of function to the elbow joint. It is important for patients to consult with their surgeon to determine the best treatment approach for their individual case.