Outcomes of reduction more than 7 days after injury in supracondylar humeral fractures in children.

The results of this study suggest that it is possible to obtain an anatomic reduction of a type II pediatric supracondylar humeral fracture even after 7 days from the injury. Such a delay in surgery does not appear to lead to longer surgeries, a higher incidence of open reduction, or to alter the final alignment or range of motion of the elbow. However, the risk of developing an avascular necrosis of the humeral trochlea must be considered. Silva M, Wong TC, Bernthal NM. J Pediatr Orthop. 2011 Oct-Nov;31(7):751-6. PMID: 21926872