Comparative Study of Cross and Lateral Fixations on Supracondylar Humerus Fracture among Children
| Main Authors: | Irianto, Komang Agung, Martanto, Tri Wahyu, Brahmana, Febrian, PK, Laskar |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
, 2020
|
| Online Access: |
http://theijmed.com/index.php?journal=theijmed&page=article&op=view&path[]=261 http://theijmed.com/index.php?journal=theijmed&page=article&op=view&path[]=261&path[]=152 |
Daftar Isi:
- Background: Management of Gartland type III supracondylar humerus fractures is conducted by open and closed repositioning. An adequate reposition and a stable and accurate fixation are desperately needed to prevent fixation failure, deformity, and complication. The study aims to compare the clinical and radiological results between crossed and lateral fixation techniques.Subjects and Method: The study was a retrospective study toward Gartland type III SCHF children in Dr. Soetomo Hospital, Surabaya, Indonesia from 2013–2016. The dependent variable is Supracondylar humerus fracture. Independent variables were the type of fixation option, clinical functional test, degrees of satisfactory, and radiology evaluation. The radiology parameter used was Skaggs criteria. An observation was conducted for the occurrence of complications in the form of infection and peripheral nerve injury. All data were analyzed using Kolmogorov Smirnov and Fischer exact test.Results: The study discovered 28 patients consisted of 20 males and 8 females with an age range from 3 – 13 years old with an average age in crossed fixation group was 7.6 years and in lateral fixation was 4.7 years. The injury sides were 46.4% right elbow and 53.5 % left elbow. Among the crossed fixation group, there were 54.5 % left elbow and 45.5 % right elbow. Among lateral fixation group, there were 50% left side and 50% right side. There was no significant difference in clinical functions, radiology as well as complication in the form of infection and peripheral nerves injury.Conclusion: There is no difference of functional clinical, radiology result as well as post-surgery complication in the form of infection and peripheral nerves injury between crossed fixation technique and lateral fixation technique.Correspondence: Komang Agung Irianto. Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo Hospital, Surabaya. Email: komang168@yahoo.com. Mobile: +62811336080.Indonesian Journal of Medicine (2020), 05(01): 31-37https://doi.org/10.26911/theijmed.2020.05.01.05