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Open Reduction and Internal Fixation of displaced Supracondylar Fractures of Humerus with Crossed K-wires via Medial Approach
This study aimed at evaluating the medial approach for open reduction and internal fixation of Gartland type 3 displaced supracondylar fractures of humerus in children. A prospective, single centre study of on displaced supracondylar humerus fractures in 42 children was carried out at our institute....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Malaysian Orthopaedic Association
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4181080/ https://www.ncbi.nlm.nih.gov/pubmed/25279089 http://dx.doi.org/10.5704/MOJ.1407.015 |
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author | Hussain, S Dhar, S Qayoom, A |
author_facet | Hussain, S Dhar, S Qayoom, A |
author_sort | Hussain, S |
collection | PubMed |
description | This study aimed at evaluating the medial approach for open reduction and internal fixation of Gartland type 3 displaced supracondylar fractures of humerus in children. A prospective, single centre study of on displaced supracondylar humerus fractures in 42 children was carried out at our institute. All fractures were managed with open reduction and internal fixation with crossed K-wires via medial approach. The mean follow-up was 12 months and patients were assessed according to Flynn’s criteria. No patients had post-operative ulnar nerve injury. Cubitus varus was not seen in any patient. Superficial pin tract infection occurred in three patients that subsided with anti-septic dressings and antibiotics. No deep infection occurred. 88.09 % patients showed satisfactory results as per Flynn’s criteria. The medial approach provides an excellent view of the supracondylar area. The approach is convenient due to a lower risk for ulnar nerve injury and better acceptability of the medial incisional scar. KEY WORDS: Type 3 supracondylar fracture humerus, medial approach, crossed K-wire fixation, medial column comminution |
format | Online Article Text |
id | pubmed-4181080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Malaysian Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-41810802014-10-02 Open Reduction and Internal Fixation of displaced Supracondylar Fractures of Humerus with Crossed K-wires via Medial Approach Hussain, S Dhar, S Qayoom, A Malays Orthop J Research Article This study aimed at evaluating the medial approach for open reduction and internal fixation of Gartland type 3 displaced supracondylar fractures of humerus in children. A prospective, single centre study of on displaced supracondylar humerus fractures in 42 children was carried out at our institute. All fractures were managed with open reduction and internal fixation with crossed K-wires via medial approach. The mean follow-up was 12 months and patients were assessed according to Flynn’s criteria. No patients had post-operative ulnar nerve injury. Cubitus varus was not seen in any patient. Superficial pin tract infection occurred in three patients that subsided with anti-septic dressings and antibiotics. No deep infection occurred. 88.09 % patients showed satisfactory results as per Flynn’s criteria. The medial approach provides an excellent view of the supracondylar area. The approach is convenient due to a lower risk for ulnar nerve injury and better acceptability of the medial incisional scar. KEY WORDS: Type 3 supracondylar fracture humerus, medial approach, crossed K-wire fixation, medial column comminution Malaysian Orthopaedic Association 2014-07 /pmc/articles/PMC4181080/ /pubmed/25279089 http://dx.doi.org/10.5704/MOJ.1407.015 Text en Copyright © 2014, Malaysian Orthopaedic Journal This article is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Research Article Hussain, S Dhar, S Qayoom, A Open Reduction and Internal Fixation of displaced Supracondylar Fractures of Humerus with Crossed K-wires via Medial Approach |
title | Open Reduction and Internal Fixation of displaced
Supracondylar Fractures of Humerus with Crossed
K-wires via Medial Approach |
title_full | Open Reduction and Internal Fixation of displaced
Supracondylar Fractures of Humerus with Crossed
K-wires via Medial Approach |
title_fullStr | Open Reduction and Internal Fixation of displaced
Supracondylar Fractures of Humerus with Crossed
K-wires via Medial Approach |
title_full_unstemmed | Open Reduction and Internal Fixation of displaced
Supracondylar Fractures of Humerus with Crossed
K-wires via Medial Approach |
title_short | Open Reduction and Internal Fixation of displaced
Supracondylar Fractures of Humerus with Crossed
K-wires via Medial Approach |
title_sort | open reduction and internal fixation of displaced
supracondylar fractures of humerus with crossed
k-wires via medial approach |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4181080/ https://www.ncbi.nlm.nih.gov/pubmed/25279089 http://dx.doi.org/10.5704/MOJ.1407.015 |
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