Medial mini-open versus percutaneous pin fixation for type III supracondylar fractures in children

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dc.authoridbaca, emre/0000-0001-8882-1943
dc.authorid, mustafa/0000-0002-5301-6407
dc.authoridBayrak, Alkan/0000-0003-0189-1645
dc.contributor.authorErcin, Ersin
dc.contributor.authorBilgili, Mustafa Gokhan
dc.contributor.authorBaca, Emre
dc.contributor.authorBasaran, Serdar Hakan
dc.contributor.authorBayrak, Alkan
dc.contributor.authorKural, Cemal
dc.contributor.authorAvkan, Mustafa Cevdet
dc.date.accessioned2024-09-29T16:09:50Z
dc.date.available2024-09-29T16:09:50Z
dc.date.issued2016
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBACKGROUND: The present objective was to compare medial mini-open and percutaneous treatment of pediatric supracondylar fractures according to fluoroscopy time, duration of surgery, and iatrogenic ulnar nerve injury. METHODS: A total of 104 Gartland type III supracondylar humerus fractures were prospectively evaluated between 2011 and 2013. Patients were divided into 2 groups according to type of fixation. In Group A (41 patients), medial pin was inserted with mini-open incision with 2 lateral pins inserted percutaneously. In Group B (63 patients), all pins were inserted percutaneously. Mean follow-up time was 14.1 +/- 1.2 months in Group A, and 14.6 +/- 2.1 months in Group B. All patients were postoperatively evaluated for nerve injury with both motor and sensory function assessment. Length of surgery, total fluoroscopy time, fluoroscopy time for medial pin insertion, Baumann's angle, humeral capitellum angle, final carrying angle, and range of motion were recorded. RESULTS: Sensorial evaluation showed that Group A had 3 poor, and 1 fair results, and Group B had 2 poor, and 1 fair results. No statistically significant differences were observed, including no differences in either surgery or total fluoroscopy times between groups. However, fluoroscopy time during medial pin placement was significantly lower in the mini-open group. CONCLUSION: In conclusion, similar results of both techniques were observed, and both carry risk of iatrogenic ulnar nerve injury. Medial pin placement is easier and less demanding when used with mini-open technique.en_US
dc.identifier.doi10.5505/tjtes.2015.20268
dc.identifier.endpage354en_US
dc.identifier.issn1306-696X
dc.identifier.issue4en_US
dc.identifier.pmid27598607en_US
dc.identifier.scopus2-s2.0-84975260957en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage350en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.20268
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7810
dc.identifier.volume22en_US
dc.identifier.wosWOS:000378681000008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFractureen_US
dc.subjecthumerusen_US
dc.subjectpediatricen_US
dc.subjectsupracondylar fractureen_US
dc.subjectulnar nerveen_US
dc.titleMedial mini-open versus percutaneous pin fixation for type III supracondylar fractures in childrenen_US
dc.typeArticleen_US

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