Komang Agung Irianto Suryaningrat, Komang and Tri Wahyu Martanto, Tri and Febrian Brahmana, Febrian and Laskar PK, Laskar Comparative Study of Cross and Lateral Fixations on Supracondylar Humerus Fracture among Children. Indonesian Journal of Medicine, 5 (1). pp. 31-37. ISSN 2549-0265

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Abstract

ABSTRACT Background: Management of Gartland type III supracondylar humerus fractures is conducted by open and closed repositioning. An adequate repo-sition and a stable and accurate fixation are des-perately needed to prevent fixation failure, defor-mity, and complication. The study aims to com-pare the clinical and radiological result between crossed and lateral fixation techniques. Subjects and Method: The study was a retros-pective study toward Gartland type III SCHF children in Dr. Soetomo Hospital, Surabaya, Indonesia from 2013–2016. The dependent vari-able is Supracondylar humerus fracture. Inde-pendent variables is type of fixation option, clini-cal functional test, degrees of satisfactory, and radiology evaluation. The radiology parameter used was Skaggs criteria. An observation was conducted for the occurrence of complication in the form of infection and peripheral nerves 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 age range from 3 – 13 years old with average age in crossed fixation group was 7.6 years and in lateral fixation was 4.7 years. The injury sides were 46.4% right elbow and 53.5 % left elbow. Among the crossed fixation group there were 54.5 % left elbow and 45.5 % right elbow. Among lateral fixation group there were 50% left side and 50% right side. There was no significant different on clinical functions, radiology as well as complication in the form of infection and peripheral nerves injury. Conclusion: There is no difference of functional clinical, radiology result as well as post-surgery complication in the form of infection and peri-pheral nerves injury between crossed fixation technique and lateral fixation technique.

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