The therapeutic strategy of humeral supracondylar fracture with never injury in children.
- Author:
Zhao-ping ZHONG
1
;
Jin CAO
;
Rong REN
;
Lin-rui PENG
;
Qiu CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Child, Preschool; Female; Fracture Fixation, Internal; Humans; Humeral Fractures; surgery; Male; Radial Neuropathy; surgery; Treatment Outcome
- From: China Journal of Orthopaedics and Traumatology 2009;22(1):27-28
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo determine the clinical features and therapeutic strategy of humeral supracondylar fractures with nerve injuries in children.
METHODSFrom June 2000 to December 2006,28 patients of humeral supracondylar fracture (Gartlang III) with never injuries were analyzed. Twenty-four patients were close injuries and the others were open. Sixteen cases (group A)were treated with close reduction and K-wires fixation. Twelve cases (group B)were treated with open reduction and nerve exploration, among them, contusive nerve injuries in 8 cases, incarceration in 3, complete neurotmesis in 1.
RESULTSThe symptoms of nerve injuries of 28 cases recovered completely within 4 to 6 weeks in 13 cases, 8 to 10 weeks in 2 cases and 12 weeks in 1 case in group A, meanwhile, within 4 to 6 weeks in 6 cases, 8 to 10 weeks in 3 cases and 12 to 16 weeks in 3 cases in group B.
CONCLUSIONMost nerve injuries in humeral supracondylar fractures in children can be cured after close reduction of the fracture. Sometimes, open reduction and nerve exploration are necessary, which has important practical significance.
