Results of type-III supracondylar fracture humerus with open reduction and internal fixation in children after failed closed reduction.
نویسندگان
چکیده
BACKGROUND Supracondylar fracture of humerus is the second most common fracture in children which account for 60-75% of all fractures around the elbow. There are various treatment modalities for type-III fracture, i.e., closed reduction and casting, skeletal traction, close reduction and percutaneous pinning and open reduction and internal fixation. This study was conducted to see the outcome of open reduction and internal fixation after failed closed reduction. METHODS This study was conducted in the Orthopaedics Departments of Khyber Teaching Hospital Peshawar and Ayub Teaching Hospital Abbottabad from February 2007 to Nov 2007 on 30 children. Patients included were of either gender with age range from 5-12 years with displaced supracondylar fracture (type-III) after failed closed reduction. All fractures were fixed with two cross K-wires by open reduction and internal fixation. The patients were assessed both clinically and radiologically and results were tabulated according to Flynn criteria. RESULTS Twenty-eight patients had excellent results while two had good results according to Flynn criteria. None of the patients had either fair or poor result. CONCLUSION Open reduction and internal fixation is a good and reliable method after failed closed reduction and gives stable fixation with anatomical alignment.
منابع مشابه
Risk factors of loss reduction after percutaneous fixation in supracondylar humerus in pediatric: a descriptive-analytical study
Background & Aims: supracondylar humerus fracture is one of the most common pediatric elbow fractures accounting for about 16% of the pediatric fractures. Loss of reduction is one of the complications after closed and percutaneous fixation. This research is aimed to investigate the factors involved in the loss of reduction. Method: In this descriptive study, the children with supracondylar hum...
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Background : Supracondylar fractures of the humerus comprise the most common fracture in children. Two-thirds of children, who are hospitalized due to arm injury, are infected by Supracondylar fractures. The aim of this research is to investigate two treatment methods, "close reduction and external fixation with pin" and "open reduction and internal reduction in Supracondylar fractures. Materi...
متن کاملمقایسه نتایج جااندازی بسته با پینگذاری از راه پوست و جااندازی باز با فیکساسیون داخلی در شکستگی سوپراکندیلار بازو در بچهها
ABSTRACT Type III supracondylar fractures of humerus is a common fracture of children with high rate of complications. There is many contraversies about its treatment. Closed reduction and percutaneous pin fixation and also open reduction and internal fixation are two routine surgical methods for this fracture each with own risk and benefits. This is a retrospective study on 49 patient...
متن کاملManagement of supracondylar fractures of the humerus in children: Conservative versus operative
Background and Objectives: Supracondylar fractures of the humerus are the most common fracture pattern of the elbow in children. Severely displaced supracondylar fractures of the distal humerus in children are a challenging problems. Many treatment methods have been described for the treatment of displaced supracondylar fractures of the humerus, however, it has not been reached a consensus for ...
متن کاملManagement of supracondylar fractures of the humerus in children.
Supracondylar fractures of the humerus are the most common fracture pattern of the elbow in children. Severely displaced supracondylar fractures of the distal humerus in children are challenging problems. Many treatment methods have been described for the treatment of displaced supracondylar fractures of the humerus, however, it has not been reached a consensus for the choice of the treatment. ...
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ورودعنوان ژورنال:
- Journal of Ayub Medical College, Abbottabad : JAMC
دوره 22 1 شماره
صفحات -
تاریخ انتشار 2010