Childrentype supracondylar fracture of the radial nerve injury therapy.docVIP

 PAGE \* MERGEFORMAT 9 Childrentype supracondylar fracture of the radial nerve injury therapy [Abstract] Objective To explore a surgical treatment of type supracondylar fracture of humerus in children with clinical radial nerve injury. Methods From August 2001 to March 2007, 15 cases of type supracondylar fractures with radial nerve injury were treated with an open reduction and internal fixation, and nerve exploration surgery. Results were followed up for 12 to 18 months, all patients were completely recovered function of the radial nerve, fracture in the 8 to 12 weeks healed, and 2 cases of 20 flexion limited ~ 30 , 1 patients with mild cubitus varus (less than 5 ). Conclusion an open reduction and internal fixation, and nerve exploration in the treatment of children type supracondylar fracture with radial nerve injury, nerve transection or embedded pressure can receive timely treatment, a good neurological recovery. fractures anatomic reduction and firm fixation with Kirschner wire, which can effectively prevent the occurrence of cubitus varus deformity. [Keywords:] supracondylar fracture of humerus, radial nerve injury, nerve exploration, fracture fixation Radial nerve injury in supracondylar fractures in children, the more common complications. From August 2001 to March 2007, were treated Gartland classification [1] type supracondylar humeral fracture with radial nerve injury in 15 cases, are used surgery, treatment of the report is as follows. 1 Clinical data 1.1 General information on 15 patients in this group 11 males and 4 females, aged 5 to 12 years with an average of 6.5 years. Blunt trauma in 13 cases, 2 cases of open injury. Height of fall injuries in 14 cases, 1 case of traffic accident , 15 cases were straight ulnar fracture. injury to the operative time was 3 h ~ 8 d, 24 h during surgery in 14 cases, 8 d operation in 1 case. 1.2 treatment of closed fractures in 1 patient due to severe swelling in the elbow, first olecrano