Changing epidemiology of paediatric supracondylar fracture in past decades: implications and challenges to surgeon’s training
Refereed conference paper presented and published in conference proceedings


摘要Introduction: Supracondylar fracture is the most common fracture in paediatric population with peak incidence at age
7 years. It is also the most commonly performed emergency operation in paediatric orthopaedics.

Materials and Methods: A retrospectively review on clinical records from 2005 to 2019 at Princes of Wales Hospital about patient demographics, injury patterns, treatment received and surgeon’s experience.

Results: We observed a reducing trend in paediatric supracondylar fracture over the past 15 years, with 19.6 operations per year in the period of 2005-2011 versus 13.7 operations per year in the period of 2013-2019 (p=0.046). Complexity of fracture was also reduced with less Gartland type III fracture. There were less open reduction procedures performed, with 8 ORIF in 2005-2011 vs 4 ORIF in 2013-2019. However, the chief surgeon’s operative experiences increased from 0.07 years before fellowship in the 2005-2011 period to 1.25 years after fellowship in the latest 5-year period, implying most of the fractures were fixed by specialists rather than trainees.

Discussion and Conclusion: With decreasing birth rate in paediatric population and reduced outdoor activities among
children, we observed that there is a lower incidence of supracondylar fracture with decreased complexity, accounting
for reduced surgical exposure among orthopaedic surgeons, especially at the higher trainee and young fellow level. This may affect optimal patient care ultimately. Hence, it is imperative to explore alternative ways of training opportunities for surgical management of supracondylar fracture, for instance, the e-learning platforms, saw-bone models and even virtual reality surgical models.
著者Henry Pang, Lucci Lugee Liyeung, Anubrat Kumar, Tsz Ping Lam, Jack Chun Yiu Cheng, Alec Lik Hang Hung
會議名稱Hong Kong Orthopaedic Association 40th Annual Congress 2020 (HKOA 2020)
會議地點Hong Kong
出版地Hong Kong

上次更新時間 2021-06-01 於 10:14