XXXX and complications of treatment in Finland: a review of compensation claims from 1990 through 2010.

@entity1 @entity174 @entity128 @entity281 @entity85
BACKGROUND: The distal part of the humerus is the second most common @entity174 location in @entity1 . Complications are more common than with other pediatric @entity174 and are mostly related to inappropriate diagnosis and treatment. METHODS: On the basis of data from 1990 through 2010 in the national registry of inpatient care treatment in Finland, we calculated the number of @entity1 less than seventeen years of age who were treated under anesthesia for a @entity174 (reduction with or without internal fixation) and the number of treatment institutions. We analyzed compensation claims concerning the treatment of these @entity174 that were received by the @entity1 Insurance Centre. The risk of a complication of treatment and the number of avoidable complications of treatment were assessed. RESULTS: A total of 7909 @entity1 underwent a procedure under anesthesia to treat a @entity174 . Claims were filed for 117 @entity1 (118 @entity174 , including seventy-four supracondylar, nineteen epicondylar, nineteen condylar, and six T-type), and compensation was granted for eighty-three (71%) of the @entity1 . @entity85 (forty-nine), delayed treatment (twenty), @entity128 (seventeen), and @entity281 (seven) were the most common reasons for compensation. On reevaluation of the claims, ninety @entity1 were assessed as having had complications of treatment. In our opinion, complications could have been avoided for eighty-six (96%) of these @entity1 . CONCLUSIONS: We believe that improving the quality of primary assessment and operative technique would decrease the number of complications in the treatment of @entity174 . Centralizing operative treatment to tertiary hospitals should be considered. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
