Abstract

Objective To investigate the effects of anterior approach versus lateral approach open reduction and Kirschner needle fixation on irreducible Gartland type Ⅲ supracondylar fractures of the humerus in children. Methods Two kinds of operation were analyzed retrospectively, 38 children with supracondylar fracture of humerus in 2004-2008 were treated by lateral approach as lateral group, and 46 children from 2009 to 2012 were treated by anterior approach as anterior group. The efficacy of the two groups was compared. Results According to Flynn criteria, excellent in 19 cases(50.0%), good in 18 cases(47.4%), and fair in one case(2.6%) of the lateral group; excellent in 31 cases(67.0%), good in 15 cases(33.0%) of the anterior group, the differences were not significant(P>0.05). Scarring in two cases of the lateral group, that had not seen of the anterior group. Conclusions Open reduction of anterior is beautiful, easy to expose the fracture position, treatment is Gartland type Ⅲ effective method on the humerus condyle fracture. Key words: Children supracondylar fracture of humerus; Open reduction and internal fixation; Cicatrix

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