On cross-pinning plus absorbable tension band fixation of supracondylar fracture of humerus in children.docVIP

 PAGE \* MERGEFORMAT 8 On cross-pinning plus absorbable tension band fixation of supracondylar fracture of humerus in children Supracondylar fracture is a common bone and joint injuries of children, or about 3% of children with limb fractures -7%, elbow 30% -40% fractures. As children humeral condylar width and flat thin, hard reset after the fracture there is, hard to maintain, on the potentiometer, high incidence of cubitus varus and limited joint movement and other issues, although a variety of treatment methods, but both have advantages and disadvantages .2001 April to October 2009, the use of cross-pinning plus lateral absorbable tension band fixation for supracondylar humerus fractures in 23 cases with satisfactory clinical effects, are as follows. 1 Materials and Methods 1.1 General Information The group of 23 patients, 16 males and 7 females. Aged 3-10 years old, were playing or walking fall injuries. Straight, 16 cases of flexion, 7 cases were closed fractures. From injury to operation time: 24h in 13 cases ,3-7 d in 10 patients. 1.2 Procedures With ketamine anesthesia, the bleeding. Take elbow lateral approach [1], subperiosteal dissection to expose the fracture site to remove a blood clot and retract the fracture Duanning entrapment of soft tissue in the fracture, the surgeon and his assistant continued gentle traction before correct the overlap before and after fracture displacement, and then correct the lateral and rotational deformity, fracture reduction is guided by radial intercalation, the ulnar little separation, type of overkill or mild ulnar deviation and radial deviation, radial deviation-based principles do not go too far [2 ]. reset with the left index finger and thumb gripping, pushing the top role, and touch the olecranon fossa and the coronary fossa to determine the exact circumstances of reset, active elbow flexion restoration carrying angle observation, the use of his left thumb and the other refers to Push