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Accession number;03A0705608
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| Title;Clinical Results of Pinning Fixation for Supracondylar Humeral Fracture in Children |
| Author;
ANDO SHUICHI
(Koshigaya Hospital, Dokkyo Univ. School of Medicine, JPN)
OZEKI SATORU
(Koshigaya Hospital, Dokkyo Univ. School of Medicine, JPN)
NOHARA YUTAKA
(Koshigaya Hospital, Dokkyo Univ. School of Medicine, JPN)
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Journal Title;Hokkaido Journal of Orthopedic and Traumatology
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Journal Code:Y0504A
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ISSN:1343-3873
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VOL.45;NO.1;PAGE.1-7(2003)
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| Figure&Table&Reference;FIG.9, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;From 1995 to 2001, twenty four supracondylar fractures of the humerus in 24 children were treated in our hospital and 21 patients were followed over a year. Fourteen of these patients were boys and 7 were girls. Eighteen fractures were reducted manually and 3 fractures were reducted surgically. All fractures were fixed with Kirschner wire pinning. These pins were removed after 3 to 5 weeks of immobilization. All patients were evaluated as satisfactory using Flynn's evaluation system; there were, however, one obvious and three mild cubitus varus deformities and one cubitus valgus deformity. There was no significant difference in carrying angle or Baumann's angle between X-P measurements taken just after surgery and at the last follow-up. Kirschner wire pinning provided enough stability in the all fractures, except in one case. All cubitus varus deformities combined with internal rotation deformity. Our results suggest that the cause of observed elbow deformities was not growth disturbance but was rather incomplete fracture reduction. We believe that more accurate reduction is necessary in the frontal and axial planes of the humerus during surgery. (author abst.) |
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