Pediatric Supracondylar Humerus Fractures: The Anterior Approach

Abstract

The results of this study show that the anterior approach is safe, simple, and easy to perform. The anterior approach has good and excellent results by Flynn's criteria in 84 percent versus 75 percent in the control group (p = 0.56).

Treatment of supracondylar fractures of the humerus in children through an anterior approach is a safe and effective method

“…Open reduction must be performed in open fractures, in cases where there is a neurovascular compromise and in those that can not be reduced satisfactorily by closed methods [3,8,11,12,14]. Open reduction can be performed through a posterior, lateral, medial or anterior approach or a combination of these.…”

The Comparison of Lateral versus Triceps Splitting Posterior Approach in the Surgical Treatment of Pediatric Supracondylar Humerus Fractures

“…[5][6][7]15,16] A lateral, medial, anterior, or posterior approach can be used for open reduction. [8,17] Most surgeons prefer medial or lateral approach, [5,18] but anterior approach is also a safe and simple method. [6,19,20] Though lateral approach is widely used, it has been stated that unsatisfactory reduction, and therefore objectionable clinical results, are of high probability in cases of exploration of only one cortex.…”

“…[5][6][7] Lateral, medial, or posterior approach may be used. [8] Posterior approach is an easy approach, but it is not usually recommended due to complications such as osteonecrosis of the trochlea [2] or stiffness due to wide dissection. [9,10] Some authors, however, have stated that there was no significant difference in clinical results.…”

Surgical Outcomes of Pediatric Humeral Supracondylar Fractures Treated By Posterior Approach and Triceps Splitting

“…Closed reduction and percutaneous pinning of these fractures has been accepted as a choice treatment in reaching these goals by many authors [17,18]. Proponents of this approach state that fewer complications such as infection, myositis ossificans and loss of movement occur occurred in closely treated patients [11,19].…”

“…Treatment usually consists of closed reduction and internal fixation (CRIF), but in some patients open reduction and internal fixation (ORIF) is required [5][6][7][8][9]. Surgical indications that are often mentioned include unsuccessful closed methods, severe displacement, pucker sign, severe ecchymosis in anterior part of elbow, vascular insufficiency (weak pulse, ischemic findings in the muscles of forearm) and open fractures [7,10,11].…”