เปรียบเทียบผลการผ่าตัดกระดูกหักเหนือข้อศอกชนิดเคลื่อนออกจากกันโดยวิธีการผ่าตัดสองแผล Medial-Lateral Approach กับวิธีผ่าตัดแผลเดียว Lateral Approach โดยใช้ Fluoroscopy

บทคัดย่อ

This study was to compare the result of surgical approach children with supracondylar fracture type 3 treated in Ratchaburi Hospital from August 2004 to July 2006 all 16 cases were Operated by Open reduction internal Fixation (ORIF) with pin and use long arm slab for immobilization we divided case into two groups, group one was treated by Medial-Lateral approach and group two was treated by lateral approach and Fluoroscopy was used for adjusting alignment.

The patients were followed up at 2, 4, 6, 8 and 12 weeks, the outcomes ware evaluated 1) The union of fractures 2) Deformities of elbow 3) Range of motion of elbow 4) Vascular and nerve injury and 5) Surgical time. Two groups of patients have the average union time of bone 3.75 and 4.0 weeks, the average angulation 1.625 and 2.125 degree, the average range of motion 146.25 and 142.5 degree, the average surgical time 42.5 and 43.25 minutes.

The results of this study were : all patient had union of fractures and no deformity of elbow. No significant difference in union time, range of motion of elbow, surgical time and on vascular and nerve injury between two groups.

In conclusion, Medial-Lateral Approach is useful for treatment of Supracondylar fracture type 3 in hospital, which Fluoroscopy is not available.