Outcomes of Pediatric Supracondylar Fractures of Humerus Treated by Posterior Triceps Splitting Approach

  • Rajeev Dwivedi Lumbini Medical College
  • Ruban Raj Joshi Lumbini Medical College
  • Subin Byanjankar Lumbini Medical College
  • Rahul Shrestha Lumbini Medical College
Keywords: humeral fractures, internal fixation, open reduction, pediatric

Abstract

Introduction: Close reductions and percutaneous pinning is the gold standard treatment for supracondylar fracture  of humerus. Open reduction and internal fixation is indicated in patients with unacceptable closed reduction, neurovascular compromise, and open fractures. Open reduction can be performed through various approaches. Every approach has their advantages and limitations. The aim of this study was  to assess the functional outcome of pediatric supracondylar fracture of humerus treated by posterior triceps splitting approach.

Methods: This was a prospective evaluation of 20 consecutive patients with displaced pediatric supracondylar humeral fractures operated by triceps spitting posterior approach in our institution for two years. At initial presentation, 19 cases were Gartland III  and one was flexion variant of injury. Complications such as reduction loss, pin migration, infection, osteonecrosis of any part of the elbow, bone healing, and functional results were evaluated. Flynn criteria were used to evaluate the final results.

Results: Twenty patients underwent open reduction and internal fixation by triceps splitting approach. Thirteen patients were male and seven were female with M:F ratio of 1.86:1. The mean age was 6.8 yr (SD=2.74, range 2-14). All the fractures united by six weeks; mean time for union was 4.5 wk (SD=0.94). All patients were assessed at six months using Flynn clinical and radiological criteria. Results were satisfactory in all patients.

Conclusion: Posterior triceps splitting approach is simple, safe and has good functional and radiological outcome. We recommend this approach  for open reduction and internal fixation in pediatric supracondylar fracture.

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Author Biographies

Rajeev Dwivedi, Lumbini Medical College

Lecturer
Dept. of ENT Head & Neck Surgery

Ruban Raj Joshi, Lumbini Medical College

Lecturer

Department of Orthopedics and traumatology

Subin Byanjankar, Lumbini Medical College

Lecturer

Department of Orthopedics and Traumatology

Rahul Shrestha, Lumbini Medical College

Lecturer

Department of Orthopedics and Traumatology

Published
2016-06-30
How to Cite
1.
Dwivedi R, Joshi R, Byanjankar S, Shrestha R. Outcomes of Pediatric Supracondylar Fractures of Humerus Treated by Posterior Triceps Splitting Approach. J Lumbini Med Coll [Internet]. 30Jun.2016 [cited 10Aug.2020];4(1):28 -31. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/83
Section
Original Research Article