Abstract:

Purpose: The aim of our study in our clinic is to evaluate and compare retrospective the results of the treatment of patients with open and closed reduction from patients with surgical and post-chirurgical clinical tracking diagnosed with supracondus humerus fractures. Tools and Methods: Between 2014 and 2020 in our clinic, supracondes were taken to evaluate children between 2 and 10 years of age who were diagnosed with humerus fractures with surgery. The clinical and radiological results of patients divided into two groups as closely administered (Group 1) and openly administered (Group 2) were evaluated as retrospective. Flynn criteria were used for this assessment. The Gartland classification was used for the classification of the crashes. Results: 64 of the patients (44.4%) were girls and 80 (55.6%) were men. The average age of patients is 5.39±2.22. 108 (75%) patients were treated with a post-closed reduction percutaneous pin (Group 1) and 36 (25%) patients were treated with a open reduction percutaneous pin (Group 2) technique. The statistical assessment found significant differences in terms of Flynn criteria and cosmetic factors (p=0,004). In Group 2, the rate of cosmetic factor being medium-bad is 13.9%, while in Group 1, the rate is 0.9%. When the groups were studied in the direction of "Flynn-Functional Factor", there was no meaningful difference between them (p=0,057). The goal of the treatment of supracondis humerus fractures is to ensure the full transparency of the joint movement of the rectum, preventing neurovascular injuries and obtaining excellent functional and cosmetic results. In order to avoid complications of open reduction, the first preference is closed reduction and percutaneous fixation, although open reduction can be applied in fractures that cannot be provided with closed reduction. When a stable break detection is made by providing adequate break reduction, the results are similar and satisfying in both approaches.

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