Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach

This is a retrospective study of patients treated with open reduction and internal fixation of a severely displaced supracondylar fracture humerus in children. Open reduction and internal fIXation with k-wire for displaced supracondylar fracture of the humerus is practiced widely in many centers. Va...

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Main Author: Vasan , Sinnadurai
Format: Thesis
Language:English
Published: 2001
Subjects:
Online Access:http://eprints.usm.my/37591/
http://eprints.usm.my/37591/1/dr_vasan_sinnadurai-RD701.pdf
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author Vasan , Sinnadurai
author_facet Vasan , Sinnadurai
author_sort Vasan , Sinnadurai
building USM Institutional Repository
collection Online Access
description This is a retrospective study of patients treated with open reduction and internal fixation of a severely displaced supracondylar fracture humerus in children. Open reduction and internal fIXation with k-wire for displaced supracondylar fracture of the humerus is practiced widely in many centers. Various approaches and techniques for open reduction of this type of fracture have been described by various authors. (Ramsey and Griz 1973,Carcassonne et al1972) In Hospital lpoh, posterior or lateral approach is commonly used . All patients treated with open reduction and k-wiring in Hospital lpoh from January 1997 till April 1998 were reviewed. Out of total patients operated during the study period, 36 returned for final follow-up. They were re-examined to assess the functional outcome, range af motion and incidence of cubitus varus of the affected elbow, as well as surgical and cosmetic complications. The posterior approach group was noted to have higher incidence of surgical complications eg cubitus varus defonnity and reduced range of elbow motion. This also included nerve injury, failure to achieve good reduction at first attempt of open reduction and unsightly scar and painful scar. Those patients who were operated by lateral approach had a better result and fewer complications.
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spelling usm-375912019-04-12T05:27:04Z http://eprints.usm.my/37591/ Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach Vasan , Sinnadurai RD701-811 Orthopedic surgery This is a retrospective study of patients treated with open reduction and internal fixation of a severely displaced supracondylar fracture humerus in children. Open reduction and internal fIXation with k-wire for displaced supracondylar fracture of the humerus is practiced widely in many centers. Various approaches and techniques for open reduction of this type of fracture have been described by various authors. (Ramsey and Griz 1973,Carcassonne et al1972) In Hospital lpoh, posterior or lateral approach is commonly used . All patients treated with open reduction and k-wiring in Hospital lpoh from January 1997 till April 1998 were reviewed. Out of total patients operated during the study period, 36 returned for final follow-up. They were re-examined to assess the functional outcome, range af motion and incidence of cubitus varus of the affected elbow, as well as surgical and cosmetic complications. The posterior approach group was noted to have higher incidence of surgical complications eg cubitus varus defonnity and reduced range of elbow motion. This also included nerve injury, failure to achieve good reduction at first attempt of open reduction and unsightly scar and painful scar. Those patients who were operated by lateral approach had a better result and fewer complications. 2001-11 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/37591/1/dr_vasan_sinnadurai-RD701.pdf Vasan , Sinnadurai (2001) Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach. Masters thesis, Universiti Sains Malaysia.
spellingShingle RD701-811 Orthopedic surgery
Vasan , Sinnadurai
Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title_full Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title_fullStr Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title_full_unstemmed Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title_short Open reduction and K-wiring of severely displaced supracondylar humerus fracture in children:Comparison between posterior triceps splitting approach and lateral approach
title_sort open reduction and k-wiring of severely displaced supracondylar humerus fracture in children:comparison between posterior triceps splitting approach and lateral approach
topic RD701-811 Orthopedic surgery
url http://eprints.usm.my/37591/
http://eprints.usm.my/37591/1/dr_vasan_sinnadurai-RD701.pdf