Observation Of 60 Cases Of Fracture Of The Extension Type Supracondylar Two Methods Of Treating Children

Objective:This topic is meant to watch chick (horizontal) traction, manual reduction and small splint fixed with steel supporting manual reduction+small splint fixation plus Chinese medicine external treatment this steel type two conservative method for treating children straight on the humerus condyle fractures of the clinical curative effect, so as to provide reference for clinical treatment of children humerus condyle fractures.Methods:Retrospectively analyzed from August2011to February2011of the relevant cases, collects and summarizes the information complete of60cases of children straight type on the humerus condyle fracture. Among30cases of the towing line homemade chick (horizontal) traction with manual reduction and small splint steel fixed-A group;30patients directly using steel with manual reduction with small splint fixation and traditional Chinese medicine external treatment, B group. In fracture treatment, and follow-up on two groups of cases in the process of fracture healing time, the degree of swelling of the limb, elbow flexion mobility, regression and carry the incidence Angle change, elbow varus deformity and elbow modified American Hospital for Special Surgery (Hospital for Special Surgery Scoring System) Scoring System scores were compared.Results:Two groups of children with the12months to1year5months of follow-up, an average of14.25±2.53months. Technique on3d,7d after limb swelling degree difference was statistically significant (P<0.05), group A than group B light, that swelling subsided after reset in group A than group B. Elbow flexion range in4weeks,5weeks difference had statistical significance (P<0.05), suggesting early elbow flexion and group B were superior to group A; At8weeks elbow flexion activities have no obvious difference between them (P>0.05).Fracture healing time of two groups was statistically significant difference (P<0.05), fracture healing time is shorter than group B in group A. Elbow Angle to carry lost two groups was statistically significant difference (P<0.05), explain in group A than group B. Elbow varus deformity rate in group A (6.7%)<group B (16.7%), but there was no statistically significant difference in the two groups (P>0.05).Modified HSS elbow function scores similar between the two groups has no statistical significance (P>0.05).Conclusion:The two kinds of conservative treatment of children humerus condyle fracture method on each have advantages, clinical should according to the specific situation to choose, in view of the serious of rotating shift Gardland III and unstable fracture reduction we recommend the use of ulna olecranon (horizontal) traction treatment.