Clinical and Radiographical Evaluation of Displaced Supracondylar Humerus Fractures in Children with Open Reduction and Internal Fixation from Lateral Approach at Dr. Soedirman Hospital in Kebumen

Dio Alif Zulfanda, Muhammad Abdul Azis

Sari


 

ABSTRACT

 

Supracondylar humerus fracture is the most common elbow fractur in children. This fracture requires proper diagnosis and treatment, otherwise it can cause functional impairment and complications. This study aims to assess outcome of displaced supracondylar humerus fracture in children by open reduction and pining from lateral approach. This research was descriptive quantitative using a retrospective method. All cases Gartland type III of supracondylar humerus fractures in children at Dr. Soedirman Hospital in Kebumen for 2015-2020, treated with open reduction and internal fixation from lateral approach. Outcomes were assessed according to the Flynn’s criteria and Mayo Elbow Performance Score. There were 59 patients, the age 3-15 years and the mean age 6.8 years. More cases were found in boys (59.3%) than girls (40.7%). The most common type of fracture was extension (98.3%). The side of fracture was more the left and was the non-dominant extremity (56%). No infection, vascular and nerve injuries. According to Flynn's criteria, cosmetic outcome in 55 of the 59 patients (93.2%) was excellent, in 4 patients (6.8%) good (P=0.051). Also, the functional outcome in 59 patiens (100%) were excellent. According to MEPS scoring, functional outcome in 58 patients (98.3%) was excellent and 1 patient (1.7%) had good. Overall, all cases were judged satisfactory (P=0.043). Treatment of supracondylar humerus fractures in children with open reduction and internal fixation from lateral approach is a safe with good clinical and radiographic results and can be applied.

 

Keywords: Supracondylar Fractures, Open Reduction, Lateral Approach, Children.

 


Teks Lengkap:

Download Artikel

Referensi


Azlar, N. B. M., Nelwan, D. A., & Rad, S. (2017). Fakultas Kedokteran Universitas Hasanuddin Makassar.

Bayusentono, S., Farhadi, A., Suwondo, A., Adyaksa, G., Kusuma, B. W. A., Widodo, R. A., Susatyo, A. Y. R., Wardana, R. A. W., & Yudistira, E. (2021). Casting, Traction, & Splinting: Buku Ajar Ortopedi & Traumatologi. Airlangga University Press.

Budhiparama, N. C., Nuniek Nugraheni Sulistiawati, S., & Hernugrahanto, K. D. (2021). Pendidikan Interprofesional Gangguan Muskuloskeletal. Airlangga University Press.

Fatmawati, F. (2020). Pengaruh Terapi Musik Klasik Terhadap Skor Nyeri Pasien Post Operasi Fraktur Di Rsud Kota Madiun STIKES Bhakti Husada Mulia Madiun].

Irianto, K. A., Pradana, I. P. G. P., & De Vega, B. (2021). Lateral versus posterior surgical approach for the treatment of supracondylar humeral fractures in children: a systematic review and meta-analysis. F1000Research, 10.

Laakso, R. B., Forcada-Calvet, P., Ballesteros-Betancourt, J. R., Llusa-Pérez, M., & Antuña, S. A. (2011). Surgical approaches to the elbow. Operative Elbow Surgery E-Book: Expert Consult: Online and Print, 91.

Lestari, D. Y., Hafiz, A., & Huriyati, E. (2018). Diagnosis dan Penatalaksanaan Fraktur Le Fort I-II disertai Fraktur

Palatoalveolar Sederhana. Jurnal Kesehatan Andalas, 7, 78-84.

Mahartha, G. R. A., Maliawan, S., Kawiyana, K. S., & Sanglah, S. U. P. (2013). Manajemen Fraktur Pada Trauma Muskuloskeletal. Bali: Fakultas Kedokteran Universitas Udayana.

Omid, R., Choi, P. D., & Skaggs, D. L. (2008). Supracondylar humeral fractures in children. JBJS, 90(5), 1121-1132.

Oryan, A., Monazzah, S., & Bigham-Sadegh, A. (2015). Bone injury and fracture healing biology. Biomedical and environmental sciences, 28(1), 57-71.

Şahin, E., Zehir, S., & Sipahioglu, S. (2017). Comparison of medial and posterior surgical approaches in pediatric supracondylar humerus fractures. Nigerian Journal of Clinical Practice, 20(9), 1106-1111.

Santoso, D. (2017). Begini Mencetak Dokter Profesional. Airlangga University Press.

Suwaryo, P. A. W., Agustin, W. R., Utama, Y. A., Sari, S. M., & Sahara, R. M. (2022). Keperawatan Gawat Darurat. Get Press.

Wahyudi, B. (2019). Pengaruh Intervensi Auditori Hipnosis Lima Jari terhadap Vital Sign: Tekanan Darah, Frekuensi Nadi, Frekuensi Pernapasan, dan Nyeri pada Klien Fraktur Ekstremitas Universitas Airlangga].

Wedel, V. L., & Galloway, A. (2013). Broken bones: anthropological analysis of blunt force trauma. Charles C Thomas Publisher.




DOI: https://doi.org/10.33024/mnj.v5i1.7720

Refbacks

  • Saat ini tidak ada refbacks.


Penerbit: Universitas Malahayati

 Creative Commons License

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License