مقايسه نتايج جااندازي بسته با پايين گذاري از راه پوست و جااندازي باز با فيكساسيون داخلي در شكستگي سوپراكنديلار بازو در بچه ها

COMPARISON OF RESULTS OF CLOSET) REDUCTION -PERCUTANEOUS PINNING AND OPEN REDUCTION-INTERNAL FIXATION IN SUPRACONDYLAR FRACTURES-OF HUMERUS IN CHILDERN

Type III supracondylar fractures of humerus is a common fracture of children with high rate of complications. There is many controversies about its treatment. Closed reduction and percutaneous pin fixation and also open reduction and internal fixation are two routine surgical methods for this fracture each with own risk and benefits. This is a retrospective study on 49 patients with type III supracondylar fractures. 28 patients treated with open reduction and internal fixation and 21 patients with closed reduction and percutaneous pin fixation. Informations obtained by visit ofʹ patients in out patient department and also attendence of examiner, at patients home. there was also 4 patients with type H gartland supracondylar fracture in closed reduction and percutaneous pin fixation group. All patients with ORIF group were type III Garteland. Results evaluated by Flynn criteria for range of motion and deformity. There was 76.2% Excellent and good results in closed reduction and percutaneous pin fixation group and 57.1 % in ORIF group. Fair and poor results were 23.8% and 42.8% respectively. Surgeons were in limited safety zone for technical error in ORIF group. Main causes of poor results in closed reduction and percutaneous pin fixation group was deformity due to poor primary reduction and it was both deformity and stiffness in ORIF group. We recommend closed reduction and percutacous fixation method for average surgeons with limited experience in ORIF techniques.