Nail in the treatment of bone-chip fracture of the humerus in children 58 cases of supracondylar.doc

 PAGE \* MERGEFORMAT 7 Nail in the treatment of bone-chip fracture of the humerus in children 58 cases of supracondylar Of: Kwan Chung, Chang West, Liguang Lei, Zhang Ping, Zhao Chengmao [Keywords:] bone chip fracture of humeral supracondylar nail Supracondylar fractures are the most common fractures of children is one of the fractures occurred one of the most complications in the treatment of fractures it is one of the most controversial. Orthofix bone fragment pin designed by the Italian, is divided into fixed and fixed screw gasket, bone fragment pin 3 models: 1.2,1.6,2.2 mm; Thread Length: 7 ~ 55 mm, and other lengths. hospital from July 2003 -2008 in May with cross-screw fixation of bone pieces of children humeral fractures in 58 cases, satisfactory results, are presented below. 1 Clinical data 1.1 General Information The 58 patients, 33 males and 25 females; aged 3 to 11 years with a mean of 5.5 years. Pathogenesis of parts on the left in 27 cases, 31 cases of right; cause of his injuries: 49 cases of sports injury, accident injury, 5 cases other causes of injury in 4 cases; by mechanism of injury type: straight type in 52 cases, 6 cases of flexion; Gartland type: Ⅱ type 20 cases, Ⅲ type 38; of which 52 cases of simple injury combined median nerve injury in 4 cases of radial nerve injury in 2 cases combined; the shortest treatment time from injury 2 h, up to 1 week. 1.2 Treatment Brachial plexus anesthesia in general anesthesia or fluoroscopy closed after restoration of bone cross-piece screw fixation in 16 cases, plaster or external fixation of the elbow secondary care, removal of 3 to 6 weeks of plaster, nail-line elbow joint exercise. Open reduction and screw bone slices 42 cases of internal fixation, in the general anesthesia or brachial plexus anesthesia, 16 cases of simple line of lateral elbow incision, 24 cases elbow, the inside of the bilateral incision, median nerve injury in 2 cases because the elbow before the line “S”-