J Korean Fract Soc.  2005 Apr;18(2):185-190. 10.12671/jkfs.2005.18.2.185.

Minimally Invasive Anterior Approach in Open Reduction of Displaced Supracondylar Fractures of Humerus in Children

• Hur CR
• Suh SW
• Oh CU
• Chae IJ
• Moon JG
• Park CE
• Hong JY

• KMID: 2035988
• DOI: http://doi.org/10.12671/jkfs.2005.18.2.185

Abstract

PURPOSE: To evaluate the outcomes of minimal anterior approach and thumb assisted technique, in children with Gartland type III supracondylar humerus fracture, who were operated by this technique.
MATERIALS AND METHODS
Forty two children with Gartland type III supracondylar fractures of the humerus with severe swelling were taken up for minimal open reduction and K-wire fixation. The technique used was a minimal incision in the cubital fossa and thumb assisted reduction of the fracture. Stabilization of fractures was done with 1.6 mm Kirschner wires.
RESULTS
The outcomes were excellent in 40 cases good in 2 cases. No complications including malunion or scar contracture were seen.
CONCLUSION
This technique is safe, effective and can be used for irreducible, displaced supracondylar fractures of the humerus in children

Keyword

Hemerus; Displaced supracondylar fracture; Minimal anteromedial incision

MeSH Terms

Bone Wires
Child*
Cicatrix
Contracture
Humans
Humerus*
Thumb