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Clin Shoulder Elbow > Volume 9(1); 2006 > Article
Journal of the Korean Shoulder and Elbow Society 2006;9(1):96-104.
DOI: https://doi.org/10.5397/CiSE.2006.9.1.096    Published online June 30, 2006.
Comparison of Treatment Methods in Completely Displaced Supracondylar Fractures of Humerus in Children - Open reduction and pinning versus Closed reduction and pinning-
Sang-Ho Lee, M.D., Woo-Sung Kim, M.D.*, Joon-Cheol Choi, M.D., Hwa-Yeop Na, M.D., Young-Sang Lee, M.D., Jun-Won Choi, M.D., Sang-Yoon Lee, M.D., Jong-Won Won, M.D., Min-Ho Sin, M.D.
Department of Orthopedic Surgery, BunDang Jaesang General Hospital, Daejin Medical Center, Sungnam, Gyounggi, Korea
완전 전위된 소아 상완골 과상부 골절의 치료 방법 비교 -관혈 정복 후 내고정술과 도수 정복 후 경피적 핀 고정술의 결과 비교-
이상호,김우성*,최준철,나화엽,이영상,최준원,이상윤,원종원,신민호
대진의료재단 분당 제생병원 정형외과
Abstract
Purpose
To evaluate and compare the results of children with displaced supracondylar fractures of humerus treated with open reduction and pinning with closed reduction and pinning . Materials and Methods: From March 2002, we treated 17 patients with completely displaced supracondylar fractures under the age of 7 with a minimal follow up period of 6 months. 9 patients were treated with closed reduction and pinning and 8 patients were treated with open reduction and pinning. The clinical results were evaluated with Flynn’s criteria. Time to bone union was also analyzed for these two set of patients. Results: The group treated with open reduction had 6 excellent and 2 good results for change in carrying angles, 5 excellent, 2 good and 1 fair results for motion loss evaluated by Flynn’s criteria. The average time to bony union for this group was 5.8 weeks. The group treated with closed reduction had 6 excellent, 2 good, and 1 fair results for change in carrying angles and 7 excellent, 1 good and 1 fair results for motion loss. The average time to bony uinon for this group was 3.7 weeks. Conclusion: In treating completely displaced supracondylar fractures of humerus in children, the closed reduction method and open reduction method all showed good results . But the operation time, duration of hospital stay and time to union was somewhat shorter for the patients treated with closed redution and pinning.
Key Words: Supracondylarfracture, Humerus, Cerclage wiring, Percutaneous
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