Kazimoglu Cemal, Turgut Ali, Reisoglu Ali, Kalenderer Önder, Önvural Burak, Agus Haluk
aDepartment of Orthopedics, Katip Celebi University Hospital bDepartment of Orthopeadics and Traumatology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
J Pediatr Orthop B. 2017 Sep;26(5):395-399. doi: 10.1097/BPB.0000000000000402.
The aim of this study was to evaluate our treatment modalities in pediatric supracondylar humerus fractures according to the recently published Appropriate Use Criteria (AUC) by the American Academy of Orthopaedic Surgeons. A total of 991 patients with supracondylar humerus fractures were included. After reviewing medical records, 38 different clinical scenarios described in the AUC were observed. Of the 991 patients, 127 were type I, 423 were type II, and 405 were type III fractures according to the Gartland classification. The AUC was appropriate for 100% of type I, only 25 (5.9%) of type II, and 389 (96.0%) of type III fractures. Overall, the total appropriateness rate was 54.5%. We concluded that application of the AUC is useful but burdensome and that AUC provides important guidance especially for rarely encountered urgent clinical scenarios.
本研究的目的是根据美国矫形外科医师学会最近发布的《合理使用标准》（AUC），评估我们对小儿肱骨髁上骨折的治疗方式。共纳入991例肱骨髁上骨折患者。在查阅病历后，观察到AUC中描述的38种不同临床情况。根据Gartland分类，991例患者中，I型骨折127例，II型骨折423例，III型骨折405例。AUC对100%的I型骨折、仅25例（5.9%）的II型骨折和389例（96.0%）的III型骨折适用。总体而言，总适用率为54.5%。我们得出结论，AUC的应用是有用的，但很繁琐，并且AUC尤其为罕见的紧急临床情况提供了重要指导。
