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Functional outcome after open supracondylar fractures of the humerus

THE EFFECT OF THE SURGICAL APPROACH

M. D. McKee, MD, FRCS C, Assistant Professor, Upper Extremity Reconstructive Service1; J. Kim, BSc, Research Student, Upper Extremity Reconstructive Service1; K. Kebaish, MD, FRCS C, Orthopaedic Resident1; D. J. G. Stephen, MD, FRCS C, Assistant Professor2; H. J. Kreder, MD, FRCS C, Assistant Professor2; and E. H. Schemitsch, MD, FRCS C, Assistant Professor1

1 Division of Orthopaedics, Department of Surgery, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada.
2 Division of Orthopaedics, Department of Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M1R 2J3.

Correspondence should be sent to Dr M. D. McKee at 55 Queen Street East, Suite 800, Toronto, Ontario, Canada M5C 1R6.

We reviewed 26 patients who had had internal fixation of an open intra-articular supracondylar fracture of the humerus. All operations were performed using a posterior approach, 13 with a triceps split and 13 with an olecranon osteotomy. The outcome was assessed by means of the Mayo Elbow score, the Disability of the Arm, Shoulder and Hand (DASH) score and the SF-36 Physical Function score. Patients with an olecranon osteotomy had less good results.




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C. A. Goldfarb, W. M. Ricci, F. Tull, D. Ray, and J. Borrelli Jr
Functional outcome after fracture of both bones of the forearm
J Bone Joint Surg Br, March 1, 2005; 87-B(3): 374 - 379.
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