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Different methods of treatment of children with supracondylar fractures of

Author: LiJiFu
Tutor: YangGuangZhong
School: Xinjiang Medical University
Course: Surgery
Keywords: Child Supracondylar fractures Method Cubitus varus
CLC: R726.8
Type: Master's thesis
Year: 2011
Downloads: 34
Quote: 0
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Abstract


Objective: To observe and compare the manipulative reduction and plaster cast immobilization closed reduction and percutaneous pin fixation and open reduction surgery children cross Kirschner wire fixation extension type supracondylar fractures of the clinical efficacy of manual reduction casts preliminary study children plaster external fixation extension type humerus fracture mechanism . Methods: A retrospective analysis of our hospital from January 2008 to January 2010 treatment -related cases , 105 cases of summary data collection more complete straight children supracondylar fractures , using three different methods of treatment of children with supracondylar extension straight fractures, closed reduction with plaster cast immobilization 39 cases (A group ) ; closed reduction and percutaneous pin fixation 34 cases (B group ) ; surgical incision reset cross Kirschner wire fixation 32 cases (C group ) . Observed fracture healing, functional elbow , elbow carrying angle changes and cubitus varus deformity incidence . Results : Three treatment changes in the carrying angle of elbow and elbow varus no difference in the incidence of the fracture healing time and elbow function manipulative reduction plaster cast immobilization and closed reduction and percutaneous pin fixation aspects no difference but superior to surgery ORIF group . Conclusion: manual reduction plaster cast immobilization in carrying angle of elbow , cubitus varus incidence with closed reduction and percutaneous pin fixation and open reduction surgery Kirschner wire fixation was no difference in the fracture healing time and elbow function better than surgery ORIF group , and surgery and closed reduction and percutaneous pinning fixity ratio, due to its improvements in pain , strength , trauma, infection , ease of operation , complications , reduce the costs of treating patients and the full and effective use of medical resources , easy-to -be patients , the clinically proven satisfactory , fully embodies the modern orthopedic simple, reliable , safe and effective and operable fracture treatment characteristics . Therefore, in clinical practice should be as straight children supracondylar fractures treatment of choice for promotion and application.

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CLC: > Medicine, health > Pediatrics > Pediatric surgery > Pediatric bone science
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