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Original ArticleOpen Access
Comparison of Posterior and Lateral Surgical Approach in Management of Type III Supracondylar Fractures of the Humerus among the Children
Bamrungthin N 
Objective: To compare the results between posterior and lateral approaches in surgical treatment of the type
III supracondylar humeral fractures in children.
Study Design: Retrospective analytical study.
Material and Method: Two groups of patients who needed surgical treatment of type lll supracondylar
humeral fractures, 52 in posterior approaches and 30 in lateral approaches were followed up for 6 months, in
Chaiyaphum Hospital between 2004 and 2007.
Results: The posterior approach had a shorter operative time than the lateral approach (p < 0.001). The
overall scores by Flynn’s criteria showed that good and excellent outcomes were 80.7% in the posterior
approach group and 80% in the lateral approach group and there was no significant difference of complications.
Conclusion: The posterior approach had a shorter operative time than the lateral approach but no significant
differences were found in terms of results and complications.
Keywords: Supracondylar humeral fracture, Posterior and lateral approach, Children
III supracondylar humeral fractures in children.
Study Design: Retrospective analytical study.
Material and Method: Two groups of patients who needed surgical treatment of type lll supracondylar
humeral fractures, 52 in posterior approaches and 30 in lateral approaches were followed up for 6 months, in
Chaiyaphum Hospital between 2004 and 2007.
Results: The posterior approach had a shorter operative time than the lateral approach (p < 0.001). The
overall scores by Flynn’s criteria showed that good and excellent outcomes were 80.7% in the posterior
approach group and 80% in the lateral approach group and there was no significant difference of complications.
Conclusion: The posterior approach had a shorter operative time than the lateral approach but no significant
differences were found in terms of results and complications.
Keywords: Supracondylar humeral fracture, Posterior and lateral approach, Children
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