WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Rabah Abdulla AL- Ebadi F.I.C.M.S (Ortho)*, Dr. Saif Nadhim Al-Assaf M.B.Ch.B. and Dr. Ghaith Yaseen Qasim C.A.B.S.

ABSTRACT

Background: Supracondylar fractures of the elbow are common in children. Their treatment is controversialwhen displacement has occurred whether open or closed reduction. Objectives: To compare the difference inclinical and functional outcome of treating children with closed, uncomplicated Supracondylar fractures, Gartlandtype III & IV, aged from 5-12 years by two surgical techniques for reduction, closed reduction with percutaneousfixation and open reduction with pinning. Patients and Method: The study is prospective case series studycarried out in orthopedic unit in Al-Jumhoori Teaching Hospital Mosul, Iraq. From January 2022 to January 2023.The total number of patients were fifty Pediatric patients suffered from closed, uncomplicated Supracondylarfractures Gartland type III & IV aged from 5-12 years. Group A 23 patients treated with closed reduction withpercutaneous pinning, while group B 27 patients were treated by open reduction with pinning. Follow up for 6months done for each patient. The results of reduction assessed clinically depending on Flynn Criteria andfunctionally depending on m-DASH score. Results: In-group A show excellent results in 18 patients (78.26%)and only one patients (4.34%) had fair to poor results. While in-group B excellent in 17 patients (62.96%) and3patients (11.10%) had fair to poor results of 6 months follow- up period. Functional disability at the end of 6months follow-up period assessed by Modified Disabilities of arm, shoulder & hand were significantly lower inclosed reduction group with mean ±SD of 5.1±1.6 in comparison to open reduction group 15.4 ± 3.33.Conclusion: Closed reduction and pinning is superior to open reduction regarding clinical and functionaloutcomes of pediatric supracondylar fracture of humerus Gartland type III & IV.

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