Background: The purpose of this study is to compare the clinical and radiological outcome of medial versus posterior triceps splitting approach in open reduction internal fixation of displaced supracondylar fracture of humerus in children.Methods: A retrospective review of total 70 children with medial approach (n=30) and posterior triceps splitting approach (n=40) children was made. Time to radiological union, postoperative Bauman’s angle and Lateral humerocapitellar angle was compared for radiological outcome. Cosmetic and functional outcome was assessed and compared using Flynn’s criteria. Results: Radiological parameters like time to union, postoperative Bauman’s angle and Lateral humerocapitellar angle were similar and non-significant between medial and posterior triceps splitting approach. Flynn’s cosmetic outcome was similar between these approach (p=0.198). Loss of ROM was significant in posterior triceps splitting approach (p=0.00). Flynn’s functional outcome was better with medial approach as compared to posterior triceps splitting approach with statistical significance (p=0.00). Conclusions: Medial approach has better functional outcome compared to posterior triceps splitting approach in open reduction internal fixation of displaced supracondylar fracture of humerus in children.Keywords: Children; Humerus; Open reduction; Supracondylar
Introduction: The management of fractures of the femoral diaphysis has changed considerably in the last 30 years. Since the advent and popularization of intramedullary nailing the treatment of fracture shaft of femur has become a good, safe and reproducible procedure for the successful management of fracture shaft of femur.Objective: The objective of the study was to assess the various postoperative outcomes of the interlocking nail of fracture shaft of femur.Methodology: This study was prospective cohort study conducted at B.P. Koirala Institute of Health Sciences, Dharan from March 2002 to Feb 2004. Seventy five consecutive patients, having fractures shaft of femur were treated by anterograde closed interlocking nail. Data analysis was done by using EpiInfo 2000 software.Results: The most common cause of fractures shaft of femur was road traffic accident (69.3%). The average union time was 14.9 ± 1.3 weeks. There was wound infection in four cases superficial infection in open grade II but no deep infection. There was two cases of pudendal nerve palsy which recovered within 4 months. There were 5 cases of broken interlocking distal screw and 4 cases had more than 1.5 cm shortening of femurConclusions: The antegrade reamed femoral nailing provides excellent results in management of fractures shaft of femur.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 244-247
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