Clinical results of bilateral triceps bradhii approach in Gartland III supracondylar fracture of humerus in chidren

Abstract

Objective To investigate clinical results of bilateral triceps bradhii approach in Gart~and Ill su- pracondylar fracture of humerus in children by comparing with reduction interne and plaster immobilization. Methods 102 children with Gartland III supracondylar fracture of humerus ,4 - 13 years old ,from May 2003 to May 2009, were randomly divided into operation group and control group ,51 cases separately, The operation group was treated by bilateral triceps bradhii approach, while control group was treated by reduction interne and plaster immobilization. All patients were made function exercise 4 weeks later, X-ray check periodically and followed up about 16 months with angle patronner and elbow joint function recorded. According to Flynn clinical function criteria, all patients were classified and analyzed. Results After follow-up and elbow joint function evaluation, 48 cases （94. 1% ） show excellent and good results,3 cases（5.9% ） fair and poor in operation group,32 cases（62.7% ） and 19 cases（37.3% ） in con- trol group. The differences between two groups was statistically singnificant （ p 〈 0, 05）, Conclusion Comparing with reduction interne and plaster immobilization, bilateral triceps bradhii approach in Gartland III supracondylar fracture of humerus in children has good clinical results and may be more effective therapy. Key words: Reduction interne and plaster immobilization; Internal fixation of fracture; Expopexy; Supracondylar fracture of humerus