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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-
대진의료재단 분당 제생병원 정형외과
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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