Displaced supracondylar fracture of humerus in children--comparative study of the result of closed and open reduction.

A. Yusof, M. Razak, A. Lim

    Research output: Contribution to journalArticle

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    Abstract

    The displaced supracondylar fracture of the humerus in children (Gartland type 3) is a most challenging injury to treat. There is controversy regarding the initial treatment either closed manipulation and splint immobilization or open reduction and internal fixation. This is a retrospective study comparing two groups of patients with displaced supracondylar fracture of the humerus (Gattland 3) treated in the Orthopaedic Unit, Universiti Kebangsaan Malaysia. The first group, 13 patients treated with closed reduction and splint immobilization and a second group, 15 patients treated with open reduction and internal fixation as initial definitive treatment. The results showed a high failure rate of closed reduction and splint immobilization. This was due to difficulty in reduction, loss of reduction post operatively or during follow-up. Open reduction and internal fixation was more advantages with reduced hospitalization time, fewer complications, more stable fixation and better anatomical reduction with minimal complications for type 3 supracondylar fracture of humerus. We would recommend that all Gartland 3 supracondylar fracture of the humerus be treated with open reduction and two K-wire fixation.

    Original languageEnglish
    Pages (from-to)52-58
    Number of pages7
    JournalThe Medical journal of Malaysia
    Volume53 Suppl A
    Publication statusPublished - Sep 1998

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    Humerus
    Splints
    Immobilization
    Malaysia
    Orthopedics
    Hospitalization
    Retrospective Studies
    Wounds and Injuries
    Therapeutics

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Displaced supracondylar fracture of humerus in children--comparative study of the result of closed and open reduction. / Yusof, A.; Razak, M.; Lim, A.

    In: The Medical journal of Malaysia, Vol. 53 Suppl A, 09.1998, p. 52-58.

    Research output: Contribution to journalArticle

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    abstract = "The displaced supracondylar fracture of the humerus in children (Gartland type 3) is a most challenging injury to treat. There is controversy regarding the initial treatment either closed manipulation and splint immobilization or open reduction and internal fixation. This is a retrospective study comparing two groups of patients with displaced supracondylar fracture of the humerus (Gattland 3) treated in the Orthopaedic Unit, Universiti Kebangsaan Malaysia. The first group, 13 patients treated with closed reduction and splint immobilization and a second group, 15 patients treated with open reduction and internal fixation as initial definitive treatment. The results showed a high failure rate of closed reduction and splint immobilization. This was due to difficulty in reduction, loss of reduction post operatively or during follow-up. Open reduction and internal fixation was more advantages with reduced hospitalization time, fewer complications, more stable fixation and better anatomical reduction with minimal complications for type 3 supracondylar fracture of humerus. We would recommend that all Gartland 3 supracondylar fracture of the humerus be treated with open reduction and two K-wire fixation.",
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