Comparative Study Between Percutaneous and Open Reduction with Kirschner Wire Fixation in Supracondylar Fracture of Humerus Type III
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Abstract
Objective: To compare their effects to patients in term of operative time, hospital length of stay, outcome of treatment and cause of injuries
Setting: Orthopaedic department Buriram Hospital
Design: Retrospective study
Method: The records of 56 patients with supracondylar fracture of humerus Gartland type III were retrospective study from March 1st, 2001 to February 28th, 2002. The studies patients were divided into 2 groups. 26 patients in group 1 were treated with open reduction and K-wire fixation while another 30 patients in group 2 were treated with close reduction and percutaneous K-wire fixation.
Results: The most common cause of injuries were follen (89.2%). The patients in group 1 required longer operative times (32.5 mins and 16.00 mins respectively). This study also suggested that there was a significantly shorter hospital length of stay in group 2 (2.42 and 1.77 days respectively, p<0.002). Flynn’s classification showed no differences outcome of treatment between these two methods.
Conclusion: Closed reduction and percutaneous K-wire fixation in supracondylar fracture of humerus Gartland type 111 was more likely to reduce operative time and hospital length of stay.
Key words: supracondylar fracture; percutaneous K-wire; open reduction with K- wire; Flynn’s classification
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References
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