Comparison of posterior and lateral surgical approach in management of type III supracondylar fractures of the humerus among the children
Bamrungthin, N.
Journal of the Medical Association of Thailand 91(4): 502-506
2008
ISSN/ISBN: 0125-2208 PMID: 18556859 Document Number: 3414
Objective: To compare the results between posterior and lateral approaches in surgical treatment of the type III supracondylar humeral fractures in children.Study Design: Retrospective analytical study.Material and Method. Two groups of patients who needed surgical treatment of type Ill supracondylar humeral fractures, 52 in posterior approaches and 30 in lateral approaches were followed up for 6 months, in Chaiyaphum Hospital between 2004 and 2007.Results: The posterior approach had a shorter operative time than the lateral approach (p < 0.001). The overall scores by Flynn's criteria showed that good and excellent outcomes were 80.7% in the posterior approach group and 80% in the lateral approach group and there was no significant difference of complications.Conclusion: The posterior approach had a shorter operative time than the lateral approach but no significant differences were found in terms of results and complications.
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