Long-Term Evaluation of Supracondylar Fractures of the Humerus (SHF) in Elbow Extension in Children at the Pediatric Surgery Department of the Aristide Le Dantec University Hospital Centerin Dakar

Authors

  • Camara Souleymane Department of Pediatric Surgery, Dalal Jam University Hospital, P.O. Box 19001 – Fax : +221 33 837 56 58, Dakar, Senegal Author
  • Diop Aly Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal Author
  • Sy Fatou Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal Author
  • Sabounji Mohamed Salsabil Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal Author
  • Ndour Oumar Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal Author

DOI:

https://doi.org/10.47363/JPRRR/2026(8)194

Keywords:

Leptomeningeal Metastases, High-Risk Medulloblastoma, Subacute Radiation Neurotoxicity, Leukoencephalopathy, sLeukoencephalopathy

Abstract

Objective: The aim of this study was to evaluate the surgical management of extension supracondylar fractures of the elbow in children at the pediatric surgery department of the Aristide Le Dantec University Hospital.
Patients and Methods: This was a retrospective, descriptive, single-center study conducted over a 5-year period from January 1, 2020, to December 31, 2024, at the pediatric surgery department of the Aristide Le Dantec University Hospital in Dakar. The study included all patients under 16 years of age with a recent extension supracondylar fracture of the humerus (occurring within 21 days) requiring surgical intervention, with a 3-year follow-up.
Results: A total of 24 patients agreed to participate in our 3-year evaluation study. The mean age was 6.12 ± 3.34 years. The distribution was 17 boys and 7 girls. 71% were classified as type IV, compared to 29% as type III.
Open surgery with a posterior approach and internal cross-shaped pinning was performed in 91.6% of cases, compared to 8.4% for percutaneous pinning using the Judet method. The mean length of hospital stay was 10 days. Removal of the osteosynthesis hardware was performed in the majority of cases between 45 and 90 days. Postoperative complications included one case of vascular injury, three cases of surgical site infection, one case of forearm compartment syndrome, and four surgical revisions.
With a mean follow-up of 36 months, we observed joint stiffness in 19 cases, including six cases of stiffness greater than 50 degrees, seven cases of stiffness between 20 and 50 degrees, and six cases of stiffness less than 20 degrees. Axial deviation was observed in 11 patients, including six cases of cubitus varus (25%) and five cases of cubitus valgus (20.8%). Nine cases (37.5%) of disfiguring hypertrophic scarring were observed. According to the Marion-Lagrange criteria, the results were satisfactory in 75% of cases.


Conclusion: Open surgery for supracondylar fractures of the humerus is the most frequently performed surgical technique in our low-income country setting. It has a high complication rate.

Author Biographies

  • Camara Souleymane, Department of Pediatric Surgery, Dalal Jam University Hospital, P.O. Box 19001 – Fax : +221 33 837 56 58, Dakar, Senegal

    Souleymane Camara, Department of Pediatric Surgery, Dalal Jam University Hospital, Dakar, Senegal.

  • Diop Aly, Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

    Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

  • Sy Fatou, Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

    Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

  • Sabounji Mohamed Salsabil, Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

    Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

  • Ndour Oumar, Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

    Department of Pediatric Surgery, Albert Royer University Hospital, SN, Cheikh Anta Diop Avenue, P.O. Box 25755, Fax: +221 33 859 47 47, Dakar, Senegal

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Published

2026-01-30

Issue

Vol. 8 No. 1 (2026): Volume 8 Issue 1

Section

Articles