EPIDEMIOLOGY AND TIME-RELATED PATTERNS OF PEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES REQUIRING SURGERY

Authors : Fatih Barça, Kadir Çevik

Pages : 373-377

Doi:10.24938/kutfd.1791660

View : 31 | Download : 98

Publication Date : 2025-12-25

Article Type : Research Paper

Abstract :Objective: Supracondylar humerus fractures are common injuries in childhood and often require surgery. Our aim is to determine whether there is a relationship between supracondylar humerus fractures and their subtypes and temporal characteristics (seasonal/monthly/weekdayweekend/ school time). Material and Methods: In this single-center, retrospective clinical observational study, patients who presented to our hospital between January 2011 and December 2018 and underwent surgical treatment for pediatric supracondylar humerus fractures were examined. Demographic data, fracture type, the month and season in which the fracture occurred, whether fractures during the school term occurred during or outside of school hours, and weekday-weekend information were obtained from the records and analyzed. Results: A total of 186 patients were included in the study (mean age 7.1±3.2, 67.2% male). Sixty-eight (36.6%) fractures occurred in the summer, 61 (32.8%) in the fall, 41 (22%) in the spring, and 16 (8.6%) in the winter. The highest number of patients presented in July, August, and September (25 patients each, 13.4%), while the lowest number presented in February (2 patients, 1.1%). One hundred twenty-five (67.2%) patients were admitted on weekdays and 61 (32.8%) on weekends. Of the patients who admitted on weekdays, 50 (40%) required open surgery, while 35 (57.4%) of those who were admitted on weekends required open surgery. The difference was found to be statistically significant (p=0.026). Seventy-four (50%) of school-aged children presented during the school term and twenty-two (29.7%) of these patients presented during school hours. Conclusion: A majority of supracondylar humerus fractures requiring surgery occur during the summer and fall seasons. During the school term, most fractures occur outside school hours. Open surgery was required significantly more often for fractures that occurred on weekends than for those that occurred on weekdays.
Keywords : Dirsek, cerrahi travmatoloji, humerus kırıkları

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