Assessment of a treatment plan for managing acute vascular complications associated with supracondylar fractures of the humerus in children.

Abstract

Nine children with ischaemia of the forearm, associated with supracondylar fractures of the humerus, which failed to respond promptly to conservative measures, were managed by exploration of the antecubital fossa together with flexor compartment fasciotomies. The anatomic findings are described, operative procedures discussed, and clinical results reviewed. A plan of management is outlined which incorporates early surgical intervention. Results show that this is a safe and effective method of managing these injuries.