ghd piastre Extension type supracondylar humeral f

xp574088 · Wysłany: Śro 11:58, 23 Mar 2011

Extension type supracondylar humeral fracture treatment of 132 cases

After being reset the residual fracture displacement,[link widoczny dla zalogowanych], and, far off through the thick rear end to prevent extension deformity tower pads, especially the instability, far off-side there was ulnar deviation, pronation displaced fracture reduction through good far off-side medial thickening tower pad,[link widoczny dla zalogowanych], a solid improvement over the stability of small splints elbow, the forearm maintained in pronation deep toggle 100. A 120. Bit, far too far off-side was maintained at the appropriate radial inclination and radial deviation of light about l5. Position, can well prevent cubitus varus, cubitus varus significantly reduce the incidence. Elbow varus supracondylar fractures are the most common complication of treatment problems. Most scholars believe that the current shift and rotation of distal fractures of the elbow varus deformity is the most common cause. I believe that the correction and prevention of cubitus varus deformity should be treated throughout the whole, a good manual reduction techniques, particularly ulnar deviation of the far off-side to correct internal rotation deformity,[link widoczny dla zalogowanych], and strong external fixation is a reasonable treatment of the key. Some scholars in the study found, regardless of fracture or radial deviation ulnar deviation, the height restoration fracture and the forearm pronated toggle fixed most stable humerus fracture can toggle Film and triceps strain, pronation may be group of the forearm extensor and lateral, and posterior ligament tension, stress concentration at the lateral elbow, radial side of the fracture section of intercalation, to prevent further fractures distal to the ulnar shift. Through good Manipulation techniques, and ultra-small splints elbow was improved, flexible use of bandaging techniques, while combining mechanics, flexibility to adjust the thickness and location of the pressure pad, so that fractures after restoration firm to maintain Good location in a reasonable and effective corrective and preventive cubitus varus deformity, received satisfactory treatment. In addition, close observation in the treatment of limb circulation during the case, where there is circulation, timely adjustment of external fixation to prevent the occurrence of Volkmann ischemic contracture. Immediately after restoration and after restoration 5d-7d limb swelling subsided, the time taken is lateral elbow standard X-ray, lateral view nearly off-side wide-ranging and far off-side is illustrated in a rotating shift; normal Children Baumann angle was (70.5 ± 5.35o [31, carrying angle average (9.814-4.29o, Baumann found to increase the angle of the side than the normal 5. more (ie reduce the carrying angle 7. above), that is, respond to patients under fluoroscopic x-ray machine to re-restoration of fixed,[link widoczny dla zalogowanych], until satisfied, in principle, should avoid repeatedly reset. by trial and improvement, the author used this method extension type supracondylar humeral fracture, received an excellent treatment, and significantly reduce the incidence of cubitus varus deformity rate. The treatment of extension type supracondylar humerus fractures with few complications,[link widoczny dla zalogowanych], short course, a good functional recovery, fewer complications, is the treatment of children with extension type supracondylar humerus fractures ideal method.
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