Absorbable fixation rods Gartlandold children supracondylar fracture of humerus.docVIP

 PAGE \* MERGEFORMAT 14 Absorbable fixation rods Gartlandold children supracondylar fracture of humerus Of: Fude Hao Li Jin Du Shuhua Xu Weihua Yuan Shao by Lau [Abstract] Objective To evaluate the absorbable rod fixation for treatment of old children Gartland type supracondylar fractures of the feasibility and efficacy. Methods diameter of 2mm or 1.5mm ultra-high molecular poly DL lactic acid (PDLLA absorbable rod for treatment of old Gartland type supracondylar fracture of humerus in children of 56 cases. After the middle of the posterior elbow “S”-shaped incision, exposure from both sides of the triceps, the lateral from the triceps, brachioradialis muscle clearance to enter the inside of the triceps and gap into the brachial muscle, does not destroy the muscle fibers and stretch elbow device. open reduction after 2 to 3 pedicle screw fixation surgery is good to check the stability, postoperative long arm plaster immobilization for 3 to 4 weeks, 2 3 weeks after the demolition of plaster joint function intermittent training on a regular basis every 3 to 4 weeks review of X-ray films, fracture healing. Results The 56 patients fully followed up, mean follow-up 19 months (3 to 36 months postoperative X-ray films showed anatomical reduction in 38 cases, no postoperative fracture displacement again. fractures healed, no wound infection, Volkmann ischemic contracture, myositis ossificans and secondary ulnar nerve injury, the occurrence of Cubitus varus deformity in 3 cases, preoperative symptoms of nerve damage were resumed within 2 months, no complications, according to Flynn elbow evaluation criteria, 49 patients in this group of excellent, good in 4 cases, 3 cases, good rate of 94.6 %. Conclusion PDLLA absorbable fixation rods old children Gartland type supracondylar fractures, stable fixation, the results are satisfactory, does not affect the epiphyseal growth. reoperation due to take to avoid the fixation of the patient willing to accept high satisfac