| ObjectiveTo discuss effective therapy methods for supracondylar fracture in children and how to reduce the incidence rate of cubitus varus.Methods76 cases of supracondylar fracture in children were collected and therapeutic efficacy were analysised. they were respectively treated with nonoperative therapy(61 cases) and operative therapy (D group, 12 cases); and in nonoperative therapy group: 31 cases were treated with maneuver reduction and splint fixation (A group); 24 cases were treated with maneuver reduction and plaster fixation (B group); 9casea were treated with olecranon of ulnar bone traction and splint fixation (C group). The therapeutic efficacy were compared, analysised and treat with statistical method between the four groups.ResulesThe 76 cases had follow-up of 4~24 months . with an average of 14 months. X-ray examination with the A-P and lateral views, reveal B A angle, the excellent rate of joint function in group A is 96.77% ,group B is 70.83% , group C is 88.89% , group D is 41.66% .The result of statistical treatment demonstreated that the difference between the nonoperative therapy group and operative therapy group has statistical significance(P<0.01) and that the difference between the three nonoperative therapy group has no statistical significance(P>0.05).The rate of occurrence of cubitus varus in group A is 6.46% ,group B is 8.34% , group C is 11.11% , group D is 16.66%. The result of statistical treatment demonstreated that the difference between the nonoperative therapy group and operative therapy group has no statistical significance(P>0.05).ConclusionThe maneuver reduction and external fixation is the very effective therapy method for supracondylar fracture in children. The operative must be selected strictly. Reducing the incidence rate of cubitus varus must span in the course of reduction and fixation. The key to preventing cubitus varus is reasonable reduction and splint fixation. |
PDF Full Text Request