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Treatment of Supracondylar Fractures of the Humerus in Children by Open Reduction
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Jung Ryul Kim, Jun Mo Lee, Joo Hong Lee, Pil Soo Sin
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J Korean Soc Fract 1999;12(4):1040-1045. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1040
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 Abstract
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- PURPOSE
To analyze the results of open reduction in displaced supracondylar fractures of the humerus in children, and to propose guidelines for an open approach to supracondylar fractures.
MATERIALS AND METHODS
Twenty-six children(average age 6.7 years), who had open reduction of severely displaced supracondylar fractures were reviewes retrospectively over a 2- year period(1993 to 1997). Elbow range of motion, carrying angle, and radiographic measurement of the Baumann angle were assessed, then each distal humerus were compared to uninjured side.
RESULTS
At follow-up, the Baumann angle and carrying angle differed by an average of 2 degrees and 4 degrees respectively compared with the unaffected arm. Range of motion was satisfactory in 96% of patientl, and there wah no significant cubitus varus.
CONCLUSIONS
Open reduction of severely displaced supracondylar fractures is a safe and effective procedure, for which orthopedists should lower their threshold, given certain appropriate indicators.
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