A CASE OF GARTLAND III FRACTURE WITH A BRACHIAL ARTERY STOP IN A CHILD:USE OF RESORBABLE INTRAVASCULAR STENT (ABSORB TM).
Abstract
Supraconylar humerus fractures are common elbow injury in children, often associated with neurovascular complications, malunion and many others. Preoperative vascular insufficiency may be improved by closed reduction and fracture pinning. Although there is no controversy regarding the treatment of an avascular hand, debate continues regarding optimal treatment of the so-called “pink pulseless hand” following fracture management.
We present the case of a child with a Gartland IIIB type humeral fracture with pulseless hand occurred after falling during a horse ride. The patient was found to have complete brachial artery stop with pulseless pink hand evaluated by a colour Doppler ultrasound after closed reduction and pinning. A post-surgical angiography showed the vascular stop without any laceration or pseudoaneurysm of the vessel that was decided to treat with implantation of a resorbable stent.
The introduction of these new resorbable stent in pediatric cardiovascular surgery could be considered a new resource even in traumatology especially in pediatric field, avoiding any invasive surgical procedure or other complications related to conservative observational treatment.
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