Comparison of lateral versus triceps-splitting posterior approach in the surgical treatment of pediatric supracondylar humerus fractures

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dc.contributor.authorTurkmen, Faik
dc.contributor.authorToker, Serdar
dc.contributor.authorKesik, Kayhan
dc.contributor.authorKorucu, Ismail Hakki
dc.contributor.authorAcar, Mehmet Ali
dc.date.accessioned2020-03-26T19:23:24Z
dc.date.available2020-03-26T19:23:24Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBACKGROUND: Supracondylar humerus fracture is the most common fracture of the elbow in children. Closed reduction and per cutaneous pinning is considered to be the optimal treatment strategy; however, in some instances, open reduction may be necessary. The aim of this retrospective study was to compare clinical and functional results of triceps-splitting posterior versus lateral approach in pediatric supracondylar humerus fracture surgery. METHODS: A total of 38 patients underwent surgery; Group I consisted of 30 patients on whom posterior approach was used, while lateral approach was used on the 8 patients in Group 2. Flynn criteria were used to evaluate cosmetic and clinical results. Fracture healing was assessed with anteroposterior and lateral x-rays. Patients and parents were asked to describe time needed for complete return of full elbow range of motion (ROM) and overall satisfaction. RESULTS: Mean fracture union time was 44.1 days and 46.3 days, and time required to regain complete or near complete elbow ROM was 57.5 days and 55.7 days after splint removal for Group I and Group 2, respectively. Twenty-one of 30 (70%) patients (and parents) in Group I, and 6 of 8 (75%) patients (and parents) in Group 2 were totally satisfied with the results. Twenty-one of 30 (70%) patients in Group I, and 6 of 8 (75%) patients in Group 2 had excellent cosmetic and functional results according to Flynn outcome criteria. CONCLUSION: In cases of pediatric supracondylar humerus fracture, early closed reduction and percutaneous pinning is preferred; however, when this method is not applicable, triceps-splitting posterior approach is a safe and comparable method to lateral approach with advantages of easier fracture reduction and shorter operating time.en_US
dc.identifier.doi10.5505/tjtes.2016.74606en_US
dc.identifier.endpage488en_US
dc.identifier.issn1306-696Xen_US
dc.identifier.issue5en_US
dc.identifier.pmid27849326en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage483en_US
dc.identifier.urihttps://dx.doi.org/10.5505/tjtes.2016.74606
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33379
dc.identifier.volume22en_US
dc.identifier.wosWOS:000386543000013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERYen_US
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectPosterior approachen_US
dc.subjectsupracondylar humerus fractureen_US
dc.subjecttricepsen_US
dc.titleComparison of lateral versus triceps-splitting posterior approach in the surgical treatment of pediatric supracondylar humerus fracturesen_US
dc.typeArticleen_US

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