The Bioabsorbable Screw And Stick In The Reposition Enchevillement Intracontention Of Children Humerus Epicondyle Fractures

Objective:Humerus epicondyle fractures often happen in children, the therapy ofthe fracture include non-surgical treatment and surgery. The non-surgicaltreatment is only suitable to no obvious displacement fracture. Thecomplications of non-surgical treatment are consist of anatomicalrepositioning malunion and concurrent ulnar nerve injury and elbow jointdysfunction, etc. Surgery is often used in the obvious displacementhumerus epicondyle fractures. With the development of orthopaedicsinternal fixation material, there are lots of fracture internal fixations. It is amatter of concern to everyone to choose appropriate internal fixation toachieve strong effect of fixation and early functional exercise of the elbowin the surgical treatment. This study is designed to quantify the possibilityand efficacy of the bioabsorbable screw and stick in the repositionenchevillement intracontention of children humerus epicondyle fractures. Methods:Retrospective analysis23patients with the children humerusepicondylitis epicondyle fractures received the reposition enchevillementintracontention by using the bioabsorbable screw and stick from2009to2011.13cases were male,10cases were female,12cases were on the leftside,11cases were on the right side. The average age is11years old(8-14years old).7cases were Ⅱdegrees,13cases were Ⅲdegrees,3cases wereⅣdegrees,2cases were old fractures. All the cases were treated by surgerywith the bioabsorbable screw and stick. Anterior transposition of the ulnarnerve will be used when there is obvious ulnar nerve injury.Functional exercise and X-ray will be taken3weeks after the operationwith forearm pronation buckling a plaster external fixation. The follow-upperiod was6months to3years,18months in average.Result:23patients were followed-up. The fracture has been healed in allpatients, no bone ununion happened. According to the elbow joint functionassessment: optimal: the elbow flexion and extension range above120°(flexion≥120°, unbend of0°); Good: the elbow flexion and extensionrange of90°, with mild pain or discomfort; Bad: the elbow flexion andextension range is less than or equal to30°. The function of the elbow jointwas excellent in20patients, good in3patients, bad in0patients, the goodrate is100%. Conclusion:The reposition enchevillement intracontention of the children humerusepicondyle fractures can got satisfied results by using the bioabsorbablescrew and stick. The bioabsorbable screw and stick will break down as timegoes by. There is no harm to the human body, no influence to the imagingexamination, no post-operation to take out the materials. The early functionexercise will be conductive to the satisfied fracture healing result. There isno influence to the function of the elbow joint and the development of theepiphysis.