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首页> 外文期刊>International Journal of Research in Medical Sciences >Analysis of displaced supracondylar fractures in children treated with closed reduction and percutaneous pinning
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Analysis of displaced supracondylar fractures in children treated with closed reduction and percutaneous pinning

机译：闭合复位复位经皮固定治疗儿童con上sup上骨折

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Background: Closed reduction is difficult not only to achieve but also to maintain because of the thinness of bone of the distal humerus between the coronoid and olecranon where most supracondylar fractures occurs. For this reason percutaneous pinning techniques have become the treatment of choice for most supracondylar fractures. By this procedure even the displaced and rotated fracture can be treated successfully with minimal incidence of complications. The purpose of this study is to determine the efficacy of management of displaced supracondylar fractures using closed reduction with percutaneous K-wire pinning and to analyze the results, loss of carrying angle, and loss of motion with incidence of complications. Methods: 35 Cases of displaced supracondylar fractures in children aged between 3 and 13 years were treated by closed reduction and percutaneous pinning and were studied prospectively for functional outcome.30 cases were treated with crossed pinning. 5 cases were treated with lateral pinning. Results: 31(88.6%) of the patients observed satisfactory results. 4 (11.4%) of the patients observed poor results. Of the cases treated by crossed pinning 26 (86.5%) had good results and 4 (13.3%) had poor results. All the patients treated with lateral pinning had excellent results. The difference in the functional outcome between the two groups were statistically significant. Conclusion: The results obtained in this study shows that anatomical reduction by closed method and stabilization with K-wire fixation is the first treatment of choice for displaced supracondylar fractures.
机译：背景：密闭复位不仅难以实现，而且难以维持，因为在大多数most上骨折发生的冠状动脉和鹰嘴之间的肱骨远端骨薄。因此，经皮钉扎技术已成为大多数most上骨折的首选治疗方法。通过该程序，即使移位和旋转的骨折也能成功治疗，并发症的发生率最低。这项研究的目的是确定经皮K线钉扎闭合复位治疗displaced上sup上骨折的疗效，并分析结果，携带角度的损失和运动的丧失以及并发症的发生率。方法：对35〜3岁儿童con上sup上骨折35例行闭合复位复位经皮钉扎治疗，并对其功能进行前瞻性研究。30例采用交叉钉扎治疗。侧钉固定5例。结果：31例（88.6％）患者观察到满意的结果。 4名患者（11.4％）观察到不良结果。交叉钉扎治疗的病例中，有26例（86.5％）效果良好，有4例（13.3％）效果差。所有接受侧向钉扎治疗的患者均获得优异的效果。两组之间的功能结局差异具有统计学意义。结论：本研究获得的结果表明，闭合方法的解剖复位和K线固定的稳定性是displaced上is上骨折的首选治疗方法。

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