title: Operative management of type III extension supracondylar fractures in children.
abstract: The purpose of this study was to compare primarily open versus primarily closed surgical treatment of Gartland type III extension supracondylar fractures in children. Also the outcomes of different pinning techniques in open surgery were evaluated retrospectively. Eighty displaced type III extension supracondylar fractures treated consecutively at two different centres were included. The treatment protocol of one institute was primarily closed reduction and percutaneous cross-pinning (n = 43). The treatment protocol of the other institute was primarily open reduction and internal fixation (n = 37) with two lateral parallel pins (n = 11), cross pins (n = 11) and two lateral and one medial pin (n = 15) according to the stability and configuration of the fracture. According to Flynn's criteria the outcomes of the open and closed reduction groups were not statistically significant (P > 0.05). Although the outcomes of closed reduction showed no superiority over open reduction, it should be the first choice of treatment due to its low morbidity and short hospital stay.
authors.affiliation: Department of Orthopaedics and Traumatology, Izmir Atatürk Training and Research Hospital, Ruzgar sokak No: 45/3, Balcova, Izmir, Turkey. ckazimoglu2000@yahoo.com
authors.forename: Cemal
authors.initials: C
authors.lastname: Kazimoglu
authors.forename: Murat
authors.initials: M
authors.lastname: Cetin
authors.forename: Muhittin
authors.initials: M
authors.lastname: Sener
authors.forename: Haluk
authors.initials: H
authors.lastname: Aguş
authors.forename: Onder
authors.initials: O
authors.lastname: Kalanderer
mesh_terms: D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome