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Current Issue - March 2010, Volume 4, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Outcome of Closed and Open Reduction with Cross Pinning Fixation for Displaced Supracondylar Humeral Fracture

Abstract

Introduction: In areas where intraoperative radiography facilities are not available, open reduction is an acceptable treatment option for fracture treatment. The aim of this investigation was to compare the outcomes of closed reduction to open reduction with cross-pinning fixation in Gartland Type III supracondylar humeral fracture extensions. Methods: In this retrospective study, closed reduction with cross pinning fixation was performed in 7 patients with closed fractures, and open reduction with cross pinning fixation was performed in 7 patients with open fractures. Result: There was no significant difference between closed and open reduction with cross pinning fixation in Gartland Type III supracondylar humeral fracture extensions in terms of postoperative carrying angle and join range of motion. (p>0.05). There were no wound related complications in either group. Conclusion: Open reduction with cross pinning fixation is a viable treatment option for Gartland type III supracondylar humeral fracture extensions especially when there are no intra-operative radiography facilities (p>0.05).

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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