Background: Management of Gartland type III supracondylar humerus fractures is conducÂted by open and closed repositioning. An adeÂquate reÂpÂoÂsition and a stable and accurate fixation are desÂperately needed to prevent fixation failure, deforÂmiÂty, and complication. The study aims to comÂpaÂre the clinical and radiological results betÂween crossed and lateral fixation techniques.Subjects and Method: The study was a retroÂsÂpective study toward Gartland type III SCHF children in Dr. Soetomo Hospital, Surabaya, Indonesia from 2013–2016. The dependent variÂable is Supracondylar huÂmeÂrus fracture. Independent variables were the type of fixation option, cliniÂcal functional test, degrees of satisfactory, and radiology evaluaÂtion. The radiology paraÂmeÂter used was Skaggs criteria. An observation was conducted for the occurrence of complications in the form of infection and peripheral nerve injury. All data were analyzed using Kolmogorov Smirnov and Fischer exact test.Results: The study discovered 28 patients consisted of 20 males and 8 females with an age range from 3 – 13 years old with an average age in crossed fixation group was 7.6 years and in lateral fiÂxÂation was 4.7 years. The injury sides were 46.4% right elbow and 53.5 % left elbow. Among the crosÂsed fixation group, there were 54.5 % left elbow and 45.5 % right elbow. Among lateral fixÂaÂtion group, there were 50% left side and 50% right side. There was no significant difference in cliÂnical funÂctions, radiology as well as comÂpliÂcaÂtion in the form of infection and peripheral nerÂves injury.Conclusion: There is no difference of functional clinical, radiology result as well as post-surgery comÂplication in the form of infection and periÂpheÂral nerves injury between crossed fixation techÂnique and lateral fixation technique.Correspondence: Komang Agung Irianto. Department of OrthoÂpeÂdics and Traumatology, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo Hospital, SuraÂbaÂya. Email: komang168@yahoo.com. MoÂbileÂ: +6281133608Â0.Indonesian Journal of Medicine (2020), 05(01): 31-37https://doi.org/10.26911/theijmed.2020.05.01.05
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