Abstract: Objectives & Design: Supracondylar fractures of the humerus in children are the most commonly diagnosed fractures in the childhood. The aim of this study is to evaluate results of surgical treatment of displaced supracondylar fractures of the humerus. Methods: Between 2006 and 2009, 73 patients who met the inclusion and exclusion criteria of the study were included. Closed reduction and percutaneous pinning was successful in the treatment of 60 children. Open reduction and crossed K- wire fixation was used 13 children after failure of closed reduction. Results: Patients were followed up for a period varied from 24 to 48 months with an average of 36. Time elapsed from trauma to surgery was less than 6 hours in 28 children with excellent to good results in all of them, in 23 children it was from 6 to 12 hours with excellent to good results in 21 and fair results in 2 children and the remaining 22 children were operated up on within 12-24 hours after trauma with 12 children with excellent to good results, fair in 8 and 2 children had poor outcome. Conclusions: Percutaneous pinning is a successful tool for treatment of displaced supracondylar fractures of the humerus in children. The time elapsed from trauma to surgery is the most important determining factor as regarding indication for open reduction and complications.

Thirty patients presented for elective valve replacement surgery were included. The patients were classified into two equal groups (15 each) according to the received opioid as a part of a balanced anesthetic technique. The first group, (morphine group), received morphine IV (0.1 mg/kg) at anesthesia induction and then (1-2 mg/h) till the end of surgery and the arrival to the ICU. The second group, (fentanyl group), received fentanyl IV (5 µg/kg) at anesthesia induction and then (1µg/kg/h) until the end of surgery and the arrival to the ICU. We concluded that, the use of morphine when compared to fentanyl as a part of a balanced anesthetic technique in valve replacement surgery after CPB, can allow better hemodynamic stability, attenuates the release of inflammatory cytokine (IL-6) and anti-inflammatory cytokine (IL-10), produce a greater reduction in adhesion molecule expression (CD 11b, CD 11c and CD 18), and reduce the incidence of postoperative hyperthermia.

Thirty patients presented for elective valve replacement surgery were included. The patients were classified into two equal groups (15 each) according to the received opioid as a part of a balanced anesthetic technique. The first group, (morphine group), received morphine IV (0.1 mg/kg) at anesthesia induction and then (1-2 mg/h) till the end of surgery and the arrival to the ICU. The second group, (fentanyl group), received fentanyl IV (5 µg/kg) at anesthesia induction and then (1µg/kg/h) until the end of surgery and the arrival to the ICU. We concluded that, the use of morphine when compared to fentanyl as a part of a balanced anesthetic technique in valve replacement surgery after CPB, can allow better hemodynamic stability, attenuates the release of inflammatory cytokine (IL-6) and anti-inflammatory cytokine (IL-10), produce a greater reduction in adhesion molecule expression (CD 11b, CD 11c and CD 18), and reduce the incidence of postoperative hyperthermia.

Thirty patients presented for elective valve replacement surgery were included. The patients were classified into two equal groups (15 each) according to the received opioid as a part of a balanced anesthetic technique. The first group, (morphine group), received morphine IV (0.1 mg/kg) at anesthesia induction and then (1-2 mg/h) till the end of surgery and the arrival to the ICU. The second group, (fentanyl group), received fentanyl IV (5 µg/kg) at anesthesia induction and then (1µg/kg/h) until the end of surgery and the arrival to the ICU. We concluded that, the use of morphine when compared to fentanyl as a part of a balanced anesthetic technique in valve replacement surgery after CPB, can allow better hemodynamic stability, attenuates the release of inflammatory cytokine (IL-6) and anti-inflammatory cytokine (IL-10), produce a greater reduction in adhesion molecule expression (CD 11b, CD 11c and CD 18), and reduce the incidence of postoperative hyperthermia.

Thirty patients presented for elective valve replacement surgery were included. The patients were classified into two equal groups (15 each) according to the received opioid as a part of a balanced anesthetic technique. The first group, (morphine group), received morphine IV (0.1 mg/kg) at anesthesia induction and then (1-2 mg/h) till the end of surgery and the arrival to the ICU. The second group, (fentanyl group), received fentanyl IV (5 µg/kg) at anesthesia induction and then (1µg/kg/h) until the end of surgery and the arrival to the ICU. We concluded that, the use of morphine when compared to fentanyl as a part of a balanced anesthetic technique in valve replacement surgery after CPB, can allow better hemodynamic stability, attenuates the release of inflammatory cytokine (IL-6) and anti-inflammatory cytokine (IL-10), produce a greater reduction in adhesion molecule expression (CD 11b, CD 11c and CD 18), and reduce the incidence of postoperative hyperthermia.