Treatment of humeral supracondylar fracture in children with internal fixation using Kirschner wires and biodegradable tension band through double small incisions / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To study therapeutic effects of internal fixation with Kirschner wires and biodegradable tension band through double small incisions for the treatment of humeral supracondylar fracture in children.</p><p><b>METHODS</b>From 2006 to 2010,82 children with humeral supracondylar fractures were treated with internal fixation using crossed Kirschner wires combined with biodegradable tension bands. Among the patients, 53 patients were male and 29 patients were female, ranging from 5 to 12,with an mean of 7 years old. The elbow joint function and Carrying angle were observed before and after treatment. The Flynn criteria was used to evaluate therapeutic effects.</p><p><b>RESULTS</b>All the patients were followed up, and the duration was six months. The average limitation angle of elbow joint was (2.8 +/- 3.7) degrees,and the Carrying angle was (12.7 +/- 2.2) degrees. According to Flynn clinical evaluation, 80 patients got an excellent result, 2 good.</p><p><b>CONCLUSION</b>Treatment of child humeral supracondylar fracture with internal fixation using Kirschner wires and biodegradable tension bands through double small incisions is believed to be a good method, which has advantages of minimal trauma, reliable fixation, early exercises and rapid recovery.</p>