Fractura de la articulación del codo infantil : manejo conservador vs quirúrgico del HGNC en el período 2021.

Abstract

Introduction: Fracture of the elbow joint is a common childhood injury due to the active nature of children, whether at home, school, the playground, or any other time. Treatment for this type of fracture will depend on the severity of the injury and may include a conservative or surgical approach. Objective: To demonstrate the efficacy of conservative vs surgical management in the HGNC child elbow joint fracture in the period 2021. Methodology: The study was descriptive, observational, retrospective and quantitative; 126 cases were identified whose information was obtained from the patients' medical records. Results: Most of the patients with elbow fracture are between 0 and 7 years old (76.2%), predominantly male (64.3%); It is worth mentioning that 69.8% presented a full recovery. Regarding the severity of the fracture, 41.3% of the Gartland 1 cases were managed with conservative treatment; in Gartland 2 fractures, surgical treatment stood out (25.4%) over conservative (2.4%), and in Gartland 3 the surgical approach was totally reduced (31%). Conclusion: It was identified that there was no significant difference between the type of total (28.6%) and partial (27.8%) recovery within the surgical treatment. On the contrary, in conservative management, 41.3% presented a total recovery and 2.4% a partial recovery; however, it is clear to mention that this type of treatment is used in cases of minor fractures.