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Abstract
The posterior approach for open reduction of supracondylar fractures of the humerus
has been condemned for causing decreased elbow movement. This study investigates this
by comparing the range of movement in children treated by posterior open reduction
and Kirschner wiring with those treated by closed reduction and immobilization. A
total of 65 children with severely displaced supracondylar humeral fractures have
been reviewed.
There was some loss of movement in 66 per cent of the open reduction group and 42
per cent of the closed reduction group. The proportion losing more than 10 ° of movement
was the same in both groups. The difference between the two groups was due to the
increased numbers in the open reduction group who lost less than 10 ° of motion. Posterior
open reduction of childhood supracondylar fractures is not associated with an important
loss of elbow movement and need not be avoided on this account.
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References
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Article info
Publication history
Accepted:
March 8,
1991
Identification
Copyright
© 1991 Published by Elsevier Inc.
