Comparison of 4 surgical approaches in pediatric Gartland type 3 supracondylar humerus fractures treated by open reduction and pinning: A multicenter study.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-03-01 DOI:10.5152/j.aott.2023.22049
İbrahim Alper Yavuz, Güzelali Özdemir, Turgut Akgül, Barış Yılmaz, Özgür Çiçekli, Etem Aytaç Yazar
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引用次数: 2

Abstract

Objective: This study aimed to compare the outcomes of medial, lateral, posterior, and anterior approaches in pediatric Gartland type 3 supracondylar humerus fractures treated with open reduction and pinning.

Methods: Gartland type 3 supracondylar humeral fractures treated by open reduction and pinning in 4 different centers with different surgical approaches were divided into 4 groups according to the surgical approach. Each trauma center applied the surgical approaches with which it had the most experience. Specifically, patients treated with medial, lateral, posterior, and anterior approaches were classified as groups 1, 2, 3, and 4, respectively. The demographic characteristics of the patients and the complications were compared. The findings were evaluated according to the Flynn criteria.

Results: A total of 198 pediatric patients, 114 (57.6%) male and 84 (42.4%) female, with a mean age of 6.27 ± 2.03 (range = 1-12) years, were included in this study. They were all treated with open reduction and pinning, 51 (25.8%) by the medial approach, 49 (24.7%) by the lateral approach, 66 (33.3%) by the posterior approach, and 32 (16.2%) by the anterior approach. No significant differences in age, gender, side, or complication status were found between the groups (P > .05). There were also no significant differences between the groups regarding the Flynn cosmetic and functional criteria (P > .05).

Conclusions: Superior functional and cosmetic results can be achieved with fewer complications with surgical techniques applied by experienced surgeons in the open reduction of supracondylar humeral fractures in children. It is recommended that surgeons choose the approach with which they have the most experience.

Level of evidence: Level III, Therapeutic study.

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4种手术入路在儿童Gartland 3型肱骨髁上骨折切开复位加钉钉治疗中的比较:一项多中心研究。
目的:本研究旨在比较内侧入路、外侧入路、后路和前路入路治疗小儿Gartland 3型肱骨髁上骨折的切开复位和钉住的疗效。方法:将Gartland 3型肱骨髁上骨折在4个不同的中心采用不同的手术入路进行切开复位钉住治疗,根据手术入路分为4组。每个创伤中心都采用自己最有经验的手术方法。具体来说,采用内侧、外侧、后路和前路入路治疗的患者分别被分为1、2、3和4组。比较患者的人口学特征及并发症。调查结果是根据弗林标准进行评估的。结果:本研究共纳入198例患儿,其中男性114例(57.6%),女性84例(42.4%),平均年龄6.27±2.03岁(范围1 ~ 12岁)。其中内侧入路51例(25.8%),外侧入路49例(24.7%),后路66例(33.3%),前路32例(16.2%)。两组患者年龄、性别、侧翼、并发症情况无统计学差异(P > 0.05)。各组在Flynn美容和功能指标上差异无统计学意义(P > 0.05)。结论:经验丰富的外科医生在儿童肱骨髁上骨折切开复位中应用手术技术,可获得良好的功能和美观效果,并发症少。建议外科医生选择他们最有经验的入路。证据等级:III级,治疗性研究。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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