Comparison of the lateral and posterior approaches in the treatment of pediatric supracondylar humeral fractures

Abstract

This study explored the radiological, functional, and cosmetic results of treatment of supracondylar humeral fractures with open reduction and percutaneous pinning, comparing posterior triceps V-splitting (group I, n=22) and lateral (group II, n=25) approaches. The time to union, the functional and cosmetic results, and the flexor and extensor muscle strengths were measured and compared with the contralateral extremities. There were no statistical differences between the groups. The V-splitting posterior approach is as safe and effective as the lateral approach in the surgical treatment of pediatric supracondylar humeral fractures.

Epidemiological and Clinical Pattern of Pediatric Supracondylar Fracture of Humerus in A Provincial Hospital: A Descriptive Cross-sectional Study

“…6 A retrospective review study done among children with supracondylar humerus fracture by Dhoju et al showed a mean age of 8.91 years with a range of 2-14 years. 7 A single center study done by Auso-Perez et al showed that the presentation risk at nighttime was higher during the summer months. 8 Our study showed early morning hours (3 AM-6 AM) with a higher load of cases.…”

“…7 A single center study done by Auso-Perez et al showed that the presentation risk at nighttime was higher during the summer months. 8 Our study showed early morning hours (3 AM-6 AM) with a higher load of cases.…”

“…3 A number of complications associated with supracondylar fractures such as immediate neurovascular injury, cubitus varus deformity, compartment syndrome, Volkmann ischemic contracture, and trochlear osteonecrosis make this fracture a serious injury. 4 Moreover, a study done by Erika et al reported that the more time is elapsed between injury and medical management, the more hospitalization days are required. Proper initial management prevents such complications.…”

Prevalence of Methicillin Resistant Staphylococcus aureus Nasal Colonizers among Basic Science MBBS and BDS Students of Kathmandu Medical College

“…Methicillin-resistant Staphylococcus aureus (MRSA), once confined mainly to healthcare-associated infections, has been increasingly reported from community. 1 The hospital-associated MRSA (HA-MRSA) is generally associated with patients with predisposing factors such as prolonged hospitalization, use of indwelling catheters, or prior surgical procedures. In contrast, community-associated MRSA (CA-MRSA) is associated with healthy and younger people without such predisposing factors.…”

“…In contrast, community-associated MRSA (CA-MRSA) is associated with healthy and younger people without such predisposing factors. 2 It has been identified that nasal colonization of S. aureus plays a key role in its pathogenesis. 3 MRSA isolates exhibit multidrug resistance; moreover, increasing reports of MRSA isolates with decreased susceptibility to glycopeptides (glycopeptide intermediately susceptible S. aureus, GISA) is a cause for great public concern.…”