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CLOSED VERSUS OPEN REDUCTION OF SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN
*Laith K. Omar Alashou and Rabah A. AL. Ebaidi
Background: Supracondylar fractures of Humerus are common in children. Their treatment is controversial when displacement has occurred wither open or closed reduction. Objective: The aim of this study is to compare the results of closed reduction with percutaneous fixation with open reduction and pinning. in respect to range of movements and deformities. Patients and Methods: The study is prospective case series study carried out in orthopedic unit in Al-Jumhoori Teaching Hospital from Feb 2018 to Jan 2019. The total number of patients were seventy Pediatric patients. Group A 31 patients treated with closed reduction with percutaneous pinning, while group B 39 patients were treated by open reduction with pinning. Both elbows of all patients were examined for range of movements, measurement of the carrying angle with a goniometer and examination of the distal neurological status. The criteria of Flynn et al. were used and loss of movement and changes in carrying angle were recorded in 5° intervals. Results: In group A (84%) of them had good to excellent results 5 patients (16%) had fair to poor results while in group B (67%) had good to excellent results and 13(33%) had fair to poor results. Conclusion: Closed reduction with pinning is superior in the treatment of pediatric supracondylar fracture of humerus.[Full Text Article]