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Eur J Orthop Surg Traumatol ; 29(2): 397-403, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30225667

RESUMO

Supracondylar fracture of the humerus is a common displaced type childhood fracture that is treated by two methods. To compare open and closed methods of reduction with 2 cross k-wire fixation, a retrospective comparative study of 66 paediatric patients with type III supracondylar fracture of the humerus, who were treated in two different hospitals utilizing two different protocols, was conducted. Group 1 was treated with open reduction and 2 cross k-wire fixation, and group 2 received the closed reduction and k-wire fixation protocol. Functional and cosmetic assessments were conducted utilizing the Flynn et al. outcome criteria. The test population consisted of 25 female (37.9%) and 41 male (62.1%) patients. There were 43 fractures (65.2%) in the right elbow and 23 fractures (34.8%) in the left. Group 2 (81.81%) stayed less than 4 days in the hospital, while 69.7% of group 1 stayed more than 5 days. Statistically, there were no significant differences (P > 0.05) between patients of both groups regarding the Flynn et al. criteria. Closed reduction technique was preferred because it required less hospitalization time and resulted in almost no visible surgical scars.


Assuntos
Redução Fechada , Fixação Interna de Fraturas , Fraturas do Úmero/cirurgia , Redução Aberta , Fios Ortopédicos , Criança , Pré-Escolar , Cicatriz/etiologia , Articulação do Cotovelo/fisiopatologia , Feminino , Consolidação da Fratura , Humanos , Fraturas do Úmero/diagnóstico por imagem , Fraturas do Úmero/fisiopatologia , Tempo de Internação , Masculino , Redução Aberta/efeitos adversos , Amplitude de Movimento Articular , Estudos Retrospectivos
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