Limited open reduction and treatment of children with unilateral external fixation fracture of radius and ulna.docVIP

 PAGE \* MERGEFORMAT 4 Limited open reduction and treatment of children with unilateral external fixation fracture of radius and ulna [Keywords:] Fracture The main function of forearm rotation, which play a crucial function of hand, so the treatment of forearm fractures, some scholars claim to be the same as the intra-articular fracture treatment [1]. Of from May 2000 to January 2007 Manipulation of the 58 cases in children less satisfied with the radius and ulna fractures, limited open reduction using unilateral external fixator treatment, clinical follow-up forearm satisfactory functional recovery, are as follows. 1 Clinical data 1.1 General Information 38 males, 20 females, aged 3 to 14 years, mean age 8.5 years. One double fracture of radius and ulna in 48 cases, 10 cases of single fracture, no dislocation of merger cases, 46 cases of closed fracture, open fracture in 12 cases. 1.2 treatments were used in this group of patients with unilateral external fixator made Bastiani. Fracture reduction under direct vision, closed fracture with fracture reduction under direct vision a small incision, incision size is 2 ~ 3 cm, to be revealed as the fracture appropriate. double fracture were asked to choose a relatively poor stability of fracture fixation, X ray monitoring the other side of the fracture with closed reduction, such as satisfactory reduction, the end of the surgery combined with cast immobilization, such as the reduction are not satisfied, then open reduction with the law fixed. external fixation location choice: radial epicondyle of the humerus to the radial styloid process to select the connection into the screw position, the ulna at the olecranon to the ulnar head into the screw connection, select the location. 2 Results 58 cases after 3 to 12 months (mean 8 months) follow-up, based on X-ray bone callus formation and mean 45 d (30 ~ 60 d) .48 cases of external fixator removal of double fractures, of which 32 cases of double fract