Closed Reduction and Internal Fixation of （的闭合复位内固定术）.pdf

ORIGINAL ARTICLE Closed Reduction and Internal Fixation of Completely Displaced and Rotated Lateral Condyle Fractures of the Humerus in Children Kwang Soon Song, MD, PhD,* Yong Woon Shin, MD, PhD,† Chang Wug OH, MD, PhD,‡ Ki Choer Bae, MD,* and Chul Hyun Cho, MD, PhD* Conclusion: Closed reduction and internal fixation is an effective Objective: To determine the usefulness of closed reduction and treatment for completely displaced and rotated lateral condyle internal fixation as the initial treatment for completely displaced and fractures of the humerus in many children. rotated fractures of the lateral condyle of the humerus in children. Key Words: lateral condyle fracture, rotation, closed reduction and Design: Prospective. internal fixation, children Setting: Three Level I trauma centers. (J Orthop Trauma 2010;24:434–439) Patients: We prospectively studied 24 consecutive completely displaced and rotated lateral condylar fractures of the humerus in children (Jakob Stage 3, 20 boys and four girls) that were treated by INTRODUCTION three different surgeons working at different hospitals during the same period. Several researchers have recommended open reduction and internal fixation (ORIF) as the best proce