Manipulation Complex Plywood Fixed Coordination Of Clinical Research, Chinese Medicine Treatment Of Closed Displaced Supracondylar Humerus Fractures In Children

ObjectiveThe purpose is to discuss the clinical treatment effection of using little splints for external fixation, at the mean time with the usage of oral and external Chinese traditional medicine to treat enfant' s humeral supra condylar fracture .MethodThen we retrospect and analyse the related cases treated before Feb, 2003, in terms of the following standard to choose cases . The standard :(1)the age arranged from 2~ 12years; (2) closed fracture; (3)without injury of nerves and blood vessels; (4)shifty fracture; (5)the time in hospital more than two weeks. The cases treated with two different kinds of therapy ways each 66 cases, with the total 132 cases, according to " The standard of Chinese traditional medical diagnosis and curative effect", were divided into various types. as followed:120 cases of straight type, 12 cases of flexural type , 104 cases of ulnar deflection, 28 cases of radius deflection, 19 seriously swollen cases with tensional bleb. The gender , age, and suffering place , distribution of syndrome of the two teams were comparative without obvious difference. 66 cases of therapeutic team were treated through Chinese traditional rectifying bone technique and external fixationof little splints, with Chinese traditional medicine via differentiated diagnosis in accordance with different syndromes (There were 13 cases which were operated at first with skeletal traction of olecroanon because of serious swell, after the swell disappeared then being restored through technique). The patient should be supine, when operated with reduction of fracture. At first, the operator pulls the proximal fore arm against its anterior aspect, adds force gradually, corrects the side shift, then the front and back shift. In order to prevent from cubitus varus, the operafor can make the fracted end' s radial corfex of bone insert or a bit toward radial slightly, even can make the ulnar coxtex of bone opened, inserted with the radius coxtex of bone. After reduction of fracture, for the cases of straight fracture type,the elbow joint should be flexed at 90~100° fixed about 3~4 weeks, and the forearm revolved behind. For the cases of f lexural fracture type, the elbow joint should be lexed 40~60° fixed about 2 weeks, then gradually being fixed 90° for about 1 week or 2 weeks, the forearm revolved front. The length of splints should reach the middle of deltoidmthe, the inside and outside splints edges should be over the elbow joint, the front splints over the elbow traverse veration,the back splints bend archedlu toward the front. In order to prerent the distandt end of fracture shifting behind olecroanon. To avoid cubitus varus, operator canput pressed pad on the inside of distant end of fracture. During the early period, the main purpose of medicine is activating blood to dissipate blood stasis, alleviating swell and pain, heat clearing and nounshing yin. We prescribe Chinese ready-made drugs made by our own hospital, the oral fulid for calming fracture, 50~ 100ml per time, three times a day. During the middle period, the main purpose of external drugs is rejointing the bone and tendon, the ointment of rejointing bone, 50-~100ml pertime, three times a day. After the splint being removed away, we used Chinese traditional medicine to fume and wash, to soothe tindon and activate channel. 30~40 minutes per time, two times a day. The prescription is external medicine for fracture. During the period of fixation, we should guide patients to practise furction,to clench fists, to stretch and flex wrist, and so on. The compared team, 66 cases were operated with niddle discission at the outside or back side of elbow, then being operated reduction of fracfure with K' s needle internal fixation crossedly, after operation being external fixation with elbow flexed at 90° with the gypsum splints. The casual diagnosis time is within two and ten years (four years averaged). During casual diagnosis all of the patients all had been taken X-ray of the front side around the period of treatment. Compared the two teams X~ray of the front side, the recovering time of fracture, the elbow' s moving function area,the allowed accompanied angle of elbow joint, the sequelae and complication of fracture.ResultAll the 132 cases they were all healed, without the case of unre covered. According to standard draft of fracture' s recovering effection of the National Traditional Medicine Conservancy