TY  - JOUR
TT  - SURGICAL MANAGEMENT STRATEGIES IN GARTLAND TYPE 3 SUPRACONDYLAR HUMERAL FRACTURES
AU  - Arıcan, Gökhun
AU  - Subaşı, Özay
AU  - Özmeriç, Ahmet
AU  - Şahin, Özgür
AU  - Alemdaroğlu, Kadir Bahadır
AU  - İltar, Serkan
PY  - 2017
DA  - December
JF  - Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi
PB  - Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi
WT  - DergiPark
SN  - 1304-6187
SP  - 74
EP  - 80
VL  - 50
IS  - 2
KW  - Flynn kriterleri
KW  - suprakondiler kırıklar
KW  - açık redüksiyon
KW  - çocuklar
KW  - fiksasyon teknikleri
N2  - OBJECTIVE: Humeral lower extremity fractures arethe second most common fractures in children. Thereis no consensus on the treatment of Gartland type 3 fractures. The purpose of this study is to determine thesurgical management strategy for supracondylar humerus fractures.MATERIAL AND METHODS: Between January 2015 andDecember 2016, 53 patients with humeral supracondylar Gartland type IIIfractures were included in our study. Demographicdata, causes of fractures, fracture types, complications, radiologicalparameters, cosmetic and functional outcomes were evaluated in the study.RESULTS: 30 of thepatients were male and 23 were female. The mean age of patients were 6,5 years. The meanlength of hospital stay was 3,15 days. The averagefollow up was 4-24 months. Pseudovarus were observed in 3 patients. Cosmeticallyclosed reduction treatment was more successful than open reduction, althoughthere was no significant difference in functional and length of stay betweenopen reduction patients and closed reduction patients according to Flynncriteria. There was no statistically significant difference between patients who weretreated with crossed K wire and those who were treated with isolated lateral Kwire in terms of functional and length of stay. Patients who were K wire fixedwith open or closed reduction did not differ significantly in terms ofhospitalization time, flynn functional results in the first 6 hours and thosewho were oppressed after 12 hours.CONCLUSION: We believe that closed reduction is thepreferred choice because of the cosmetic advantage that complication rates arenot significant compared to open reduction. Sincethere is no functional difference between the two configurations, medial Kwires is not necessary when we think that the reduction quality and fixationstability with 2 lateral K wires are sufficient. Forpatients who are at high risk for surgery, optimal surgery time may beexpected.
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UR  - https://dergipark.org.tr/tr/pub/aeahtd/issue//322763
L1  - https://dergipark.org.tr/tr/download/article-file/513708
ER  -