D C Aronson1, J D Meeuwis. 1. Department of Surgery, Academic Hospital, University of Leyden, The Netherlands.
Abstract
OBJECTIVE: To describe the anterior approach for open reduction of supracondylar fractures in children and to assess the morbidity and functional outcome. DESIGN: Retrospective analysis. SETTING: University Hospital. SUBJECTS: Eleven consecutive children (mean age 6 years, range 4-12) with supracondylar fractures who were treated by open reduction and fixation with a Kirschner wire through an anterior approach from 1984-1990 and followed up after a mean of 9 weeks (range 5-16 weeks). RESULTS: There was no morbidity. Full functional recovery was achieved within four months of the accident. One patient had a mild (10 degrees) varus deformity with normal function of the elbow. CONCLUSION: Open reduction of supracondylar fractures and fixation with a Kirschner wire through an anterior approach is a logical, safe and elegant technique, which we recommend for children in whom closed reduction has failed.
OBJECTIVE: To describe the anterior approach for open reduction of supracondylar fractures in children and to assess the morbidity and functional outcome. DESIGN: Retrospective analysis. SETTING: University Hospital. SUBJECTS: Eleven consecutive children (mean age 6 years, range 4-12) with supracondylar fractures who were treated by open reduction and fixation with a Kirschner wire through an anterior approach from 1984-1990 and followed up after a mean of 9 weeks (range 5-16 weeks). RESULTS: There was no morbidity. Full functional recovery was achieved within four months of the accident. One patient had a mild (10 degrees) varus deformity with normal function of the elbow. CONCLUSION:Open reduction of supracondylar fractures and fixation with a Kirschner wire through an anterior approach is a logical, safe and elegant technique, which we recommend for children in whom closed reduction has failed.