engleski

Influence of obesity in children with supracondylar fractures requiring surgical treatment

Aim: The aim of our study was to determine whether the proportion of obese children, hospitalized for surgical treatment of supracondylar humerus fracture, was higher in complete displacement fractures. Methods: The primary outcome of the study was to determine the cumulative number of all supracondylar fractures and their distribution. The secondary outcome was to determine whether there was a statistically significant difference in relation to the observed parameters depending on gender. The tertiary outcome was to determine the proportion of children, depending on their percentile, in Gartland II and Gartland III type of injury. Results: In the observed period, under the diagnosis of supracondylar fracture, 57 children were hospitalized and surgically treated. The distributions according to the observed parameters were as follows ; age (months) [mean ± SD = 88.11 ± 32.48], height (cm) [123.44 ± 16.77], weight (kg) [27.04 ± 11.12], body mass index [17.11 ± 3.04], percentile [56.79 ± 32.34]. 13 fractures were classified as Gartland II while 44 were classified as Gartland III. 6 fractures were of flexion type, while 51 were of extension type. The left elbow was affected in 37 children, while the right was in 20 children. The relative difference, in the proportion of Gartland type III injuries, in children weighing above the 85th percentile, compared to children weighing below the 85th percentile was 15.17% (boys: 5%, girls: 37.49%). Conclusions: Our research found that there is undoubtedly a relative difference in the proportion of Gartland type III injuries in overweight and obese children, compared to children whose weight is below the 85th percentile. The difference is more pronounced in girls.

obesity ; supracondylar humerus fracture ; children

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