Outcome of the Anterior Approach for Gargatal Treatment of Pediatric Supracondylar Humeral Fractures
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Abstract
Background: Closed supracondylar humeral fractures were treated with open reduction and internal fixation with various approaches. Different approaches may result in different outcomes and complications. Aim: To compare between anterior and other approaches in the surgical treatment of Gartland type Ill closed supracondylar humeral fractures. Patients and Method: Closed supracondylar humeral fracture patients that received surgical treatment in Sakol Nakhon hospital with various approaches during January 2000 to June 2004 were studied. The follow-up period was 6 months. Results: One hundred twenty-three children with closed supracondylar humeral fractures were recruited. Fifty-two children (42.2%) with mean age of 6.90±2.15 year-old were treated with anterior approach and 71 children (57.8%) with mean age of 7:27±2.78 year-old were tred with other approaches. Both groups had no difference in demographic data including sex and side of fracture arm. The result showed the operative time in the anterior approach group was shorter signifcantly. Other outcomes such as Baumann's angle, the degree of motion loss and the degree of carrying loss showed no difference. Severe complications were found only 1.9%. Conclusion: The surgical treatment of closed supracondylar humeral fractures with anterior approach was good and effective in aspect of ease, shorter operative time and lower severe complications.
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