The effects of two kinds of operative approaches in the treatment of humeral supracondylar fracture in chil-dren
Abstract：Objective To compare and analyze the therapeutic results of humeral supracondylar fracture by two kinds of operative approaches.Methods Sixty cases with humeral supracondylar fracture were operated by using posterior approach( Group A, n=30 ) and by using lateral approach ( Group B, n=30 ) .The exposure time, the closing time and the operation time were recorded and the function recovery was evaluated according to Flynn joint el-bow function system.Results The exposure time was (14.48 ±1.33) min in group A and (10.27 ±1.28) min in group B;The closed time was (20.60 ±1.83)min in group A and (17.00 ±1.36)min in group B; The operation time was (80.27 ±3.16)min in group A and (67.50 ±2.10)min in group B.The exposure time, the closing time and the operation time were shorter in group B than those in group A.73.3% patients showed excellent or good re-sults in the function of elbow joints in group A and 93.3%in group B, with a significant difference between the two groups(P<0.05).Conclusion It is a practical approach to use open reduction and internal fixation with kirschner pin for patients with GartlandⅢ humeral supracondylar fracture who are difficult in performing manipulative reduc-tion.The effect of the surgery by lateral apporach is better than that by posterior approach for children with humeral supracondylar fracture.
Keywords：Humeral supracondylar fractureOperative approachChildren
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 928-930 )