摘要
Abstract
Objective To investigate the child after the medial and lateral shift after supracondylar fractures and de-formity occurs turn the relationship between the inner elbow. Methods 33 cases of supracondylar fractures were treated with closed reduction and Kirschner wire fixation ( Gartland typeⅢA 18 cases, typeⅢB 15 cases) . Surgery combined with external fixation plaster for 3~4 weeks. After being in the elbow, the lateral X-ray measurement of the carrying angle and elbow range of motion, carrying angle changes observed, analyzed and cubitus varus displacement direction of the relationship. Results The children were followed up for 1~2 years. 18 cases of typeⅢA fracture of the elbow carrying angle lost 15. 2° ± 5. 1°, 15 cases of type ⅢB person carrying angle lost 8. 8° ± 3. 5°. Cubitus varus typeⅢA andⅢB fractures caused a statistically significant difference compared (P<0. 05). No patient expe-rienced elbow limited mobility. According to Flynn criteria:18 cases of type ⅢA fracture patients, 10 cases of be-nign and 8 were poor;15 cases of patients with typeⅢB fracture patients, 9 cases of benign and 6 were poor. Con-clusions Type ⅢA fractures compared to ⅢB fractures are more likely to occur cubitus varus. Even after surgery has been anatomically, typeⅢA fractures may still lead to cubitus varus deformity, which may be typeⅢA compres-sion fracture of the medial cortical bone, or accompanied by epiphyseal injuries.关键词
儿童/肘内翻/并发症/肱骨髁上骨折/骨折移位Key words
children/cubitusvarus/complications/supracondylar fractures/fracture displacement分类
医药卫生
