{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:38:42Z","timestamp":1787020722948,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008240","name":"department of health of hebei province","doi-asserted-by":"publisher","award":["20210846"],"award-info":[{"award-number":["20210846"]}],"id":[{"id":"10.13039\/501100008240","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy of ultra-early rehabilitation on elbow function after Slongo\u2019s external fixation for supracondylar humeral fractures in older children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed clinical data from 49 older children (&gt;\u20098\u2009years) and adolescents with supracondylar humerus fracture who were treated with Slongo\u2019s external fixation in our hospital from January 2016 to August 2020. Twenty-three patients received ultra-early postoperative rehabilitation (rehabilitation group) and 26 patients were not subjected to postoperative rehabilitation (control group). Time to ROM required for functional activity of daily living(ROM-ADL) in both groups was recorded postoperatively. Patients were followed up at 3 and 6\u2009months after surgery to compare the elbow range of motion (ROM) and carrying angle (CA). Postoperative complications were assessed in both groups. Flynn scores and modified Mayo Elbow Performance Scores were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The elbow function at 6\u2009months after surgery was significantly better than that at 3\u2009months in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.32). Time to ROM-ADL in the rehabilitation group was significantly shorter than that of the control group (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.028). The elbow function, Flynn scores, and modified Mayo scores in the rehabilitation group at 3 and 6\u2009months after surgery were significantly better than that of the control group (\n                      <jats:italic>P<\/jats:italic>\n                      (ROM, 3\u2009months and 6\u2009months) = 0.012 vs 0.039;\n                      <jats:italic>P<\/jats:italic>\n                      (Flynn scores, ROM, 3\u2009months and 6\u2009months) = 0.028 vs 0.005;\n                      <jats:italic>P<\/jats:italic>\n                      (Flynn scores, CA, 3 months and 6 months) = 0.032 vs 0.026;\n                      <jats:italic>P<\/jats:italic>\n                      (Modified Mayo scores, 3 months and 6 months) = 0.039 vs 0.024; respectively). There were no iatrogenic injuries, secondary fracture displacements, myositis ossificans, elbow deformities, or other complications in either group. One case of nail tract infection occurred in the rehabilitation group and was cured.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Slongo\u2019s external fixation is a safe and effective surgical treatment for supracondylar humeral fractures in children over 8\u2009years old and adolescents. Ultra-early rehabilitation treatment for postoperative children can significantly speed up the recovery after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13018-021-02671-4","type":"journal-article","created":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T03:02:41Z","timestamp":1629514961000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Efficacy of ultra-early rehabilitation on elbow function after Slongo\u2019s external fixation for supracondylar humeral fractures in older children and adolescents"],"prefix":"10.1186","volume":"16","author":[{"given":"Man","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingxin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0492-7543","authenticated-orcid":false,"given":"Yu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,21]]},"reference":[{"issue":"1","key":"2671_CR1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1053\/j.oto.2018.12.003","volume":"29","author":"JB St Clair","year":"2019","unstructured":"St Clair JB, Schreiber VM. 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