Revista de la Asociación Argentina de Ortopedia y Traumatología
versión On-line ISSN 1852-7434
VICO, José Luis. Lateral mini invasive approach in supracondylar humeral fractures in children. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2011, vol.76, n.2, pp. 105-111. ISSN 1852-7434.
Background: Closed, unstable supracondylar humeral fractures in children may require an open reduction. We present the lateral mini invasive surgical approach as an excellent treatment alternative. Methods: Forty six children aged 2 to 12, presenting Gartland Type III closed fractures were treated. The incidence was higher in those aged 5 to 7, with a 3:2 male-female distribution, no neurovascular involvement, irreducible with external manipulation because of fracture instability, soft tissue interposition, or no radioscopy available. The lateral mini invasive approach was three to four centimeters long, and proceeded through an inter-muscular plane. The surgery lasted 14+/-2 minutes. Results: All fractures healed, and motion was fully recovered, with good alignment of the elbow load angle, no permanent nerve lesions, ossifying myositis or deep infections. Conclusions: The lateral mini invasive approach used to treat these fractures is simple, fast, reproducible, does not require special instrumentation or equipment, involves minimal blood loss, low morbidity, good recovery and fast return to school.
Palabras clave : Supracondylar humeral fracture in children; Surgical approaches; Lateral mini invasive approach.