Comparision of lateral, medial, and posterior approaches in the surgical treatment of pediatric supracondylar humerus fractures.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Bekir Karagoz, Birkan Kibar, Onur Oto, Fahri Erdi Malkoc
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引用次数: 0

Abstract

Objective: The aim of this study was to compare the functional and radiological results of lateral, medial, and posterior surgical approaches in pediatric patients undergoing open reduction and internal fixation for supracondylar humerus fractures.

Methods: A total of 86 patients were included in the study. The clinical and radiographic results of the treatment in patients who underwent open reduction and internal fixation with lateral, medial, and posterior approaches were evaluated. Flynn's criteria were used in the evaluation of cosmetic and clinical results. Comparisons were made between the groups in terms of Baumann angle, lateral capitellohumeral angle, and post-operative complications.

Results: There was no statistically significant difference between the three groups in terms of complications. No statistically significant relationship was observed between Flynn's criteria and surgical approaches. When the relationship among post-operative range of motion (ROM) and surgical approach was evaluated, no extension defect was found in any of the patients, but a significant relationship was found between post-operative flexion ROM and surgical approach (p=0.011).

Conclusion: Closed reduction and percutaneous pinning are preferred in cases of pediatric supracondylar humerus fractures. However, when this method cannot be applied, lateral, medial, and posterior approaches are the possible open reduction methods, that can be safely preferred.

Abstract Image

外侧入路、内侧入路和后路入路治疗小儿肱骨髁上骨折的比较。
目的:本研究的目的是比较肱骨髁上骨折患儿行切开复位内固定的外侧、内侧和后路手术入路的功能和影像学结果。方法:共纳入86例患者。对采用外侧、内侧和后路入路行切开复位内固定的患者的临床和影像学结果进行了评估。Flynn标准用于美容和临床结果的评估。比较两组间的鲍曼角、肱骨小头外侧角及术后并发症。结果:三组患者并发症发生率比较,差异无统计学意义。Flynn标准与手术入路之间没有统计学上的显著关系。当评估术后活动度(ROM)与手术入路的关系时,所有患者均未发现伸直缺损,但术后屈曲ROM与手术入路有显著关系(p=0.011)。结论:闭合复位加经皮钉钉是治疗小儿肱骨髁上骨折的首选方法。然而,当该方法不能应用时,外侧、内侧和后路是可能的切开复位方法,可以安全首选。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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