Abstract:

Humeral lower extremity fractures are the second most common fractures in children. There is no consensus on the treatment of Gartland type 3 fractures. The purpose of this study is to determine the surgical management strategy for supracondy humerus fractures.   MATERIAL AND METHODS: Between January 2015 and December 2016, 53 patients with humeral supracondy Gartland type III fractures were included in our study. Demographic data, causes of fractures, fracture types, complications, radiological parameters, cosmetic and functional outcomes were evaluated in the study.   Results: 30 of the patients were male and 23 were female. The average age of patients was 6.5 years. The average length of hospital stay was 3.15 days. The average follow up was 4-24 months. Pseudovarus was observed in 3 patients. Cosmetically closed reduction treatment was more successful than open reduction, although there was no significant difference in functional and length of stay between open reduction patients and closed reduction patients according to Flynn criteria. There was no statistically significant difference between patients who were treated with crossed K wire and those who were treated with isolated lateral K wire in terms of functional and length of stay. Patients who were K wire fixed with open or closed reduction did not differ significantly in terms of hospitalization time, flynn functional results in the first 6 hours and those who were oppressed after 12 hours. CONCLUSION: We believe that closed reduction is the preferred choice because of the cosmetic advantage that complication rates are not significant compared to open reduction. Since there is no functional difference between the two configurations, medial K wires is not necessary when we think that the reduction quality and fixation stability with 2 lateral K wires are sufficient. For patients who are at high risk for surgery, optimal surgery time may be expected.

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