Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
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Date
2001-11
Authors
Vasan, Sinnadurai
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
This is a retrospective study of patients treated with open reduction and internal fixation
of a severely displaced supracondylar fracture humerus in children. Open reduction and
internal fIXation with k-wire for displaced supracondylar fracture of the humerus is
practiced widely in many centers. Various approaches and techniques for open reduction
of this type of fracture have been described by various authors. (Ramsey and Griz
1973,Carcassonne et al1972)
In Hospital lpoh, posterior or lateral approach is commonly used . All patients treated
with open reduction and k-wiring in Hospital lpoh from January 1997 till April 1998
were reviewed. Out of total patients operated during the study period, 36 returned for
final follow-up. They were re-examined to assess the functional outcome, range af motion
and incidence of cubitus varus of the affected elbow, as well as surgical and cosmetic
complications.
The posterior approach group was noted to have higher incidence of surgical
complications eg cubitus varus defonnity and reduced range of elbow motion. This also
included nerve injury, failure to achieve good reduction at first attempt of open reduction
and unsightly scar and painful scar.
Those patients who were operated by lateral approach had a better result and fewer
complications.
Description
Keywords
Orthopaedics