Jiang hai,Wang bin,Wu yongtao,et al.The operative treatment in children’s distal humeral osteoepiphysis fracture.[J].Journal of Clinical Pediatric Surgery,,9():0.
The operative treatment in children’s distal humeral osteoepiphysis fracture.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第9卷
Number:
2010 02
Page:
0
Column:
Date of publication:
2010-04-28
- Keywords:
- children; distal humeral osteoepiphysis fracture; operation
- Abstract:
- Objective To investigate the value of operative treatment in children’s distal humeral osteoepiphysis fracture. Methods From January 2002 to August 2006 ,12 cases were treated by operation. According to Salter-Harris system, there were 7 typeⅠfracture,5 typeⅡfracture. There was 1 case combined with injury of musculospiral nerve. 9 cases were operated by elbow joint outboard approach and 3cases by posterior approach. They were fixed with Kirschner wire after open reduction. Immediate postoperative radiographs were closely analyzed to determine reduction accuracy. The x-ray counterchecks were made after operation. The Kirschner wire was removed after 6weeks and exercises were done immediately . Results All patieats were followed up for 1 to 6 years after injury, 3 years in average. The time of healing of fracture was from 3weeks to 6 weeks, 4 weeks in average. 9 patients had good function of elbow. 2 cases had decrement of flection. 1 case had elbow varus deformity. The nerve function was recovered totally after operation. Conclusions It is difficult to get an anatomical contraposition by closed reduction. The operation can get an anatomical contraposition and decrease the deformity. The outboard approach is recommend.
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典型病例
Memo
西安市红十字会医院儿骨科（陕西省，710054）
Last Update:
2010-04-30