Journal of Musculoskeletal Trauma

Original Articles

Closed Reduction and Percutaneous K-wire Fixation in Supracondylar Fractures of the Humerus in Children: Soon Hyuck Lee, Jung Ho Park, Young Soo Byun; J Korean Soc Fract 1995;8(2):423-429. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.423

Abstract PDF: We evaluated the clinical results of the closed reduction and percutaneous K-wire fixation for supracondylar fracture of the humerus in thirty patients who were treated from Jan 1990 to Nov 1993. We analyzed the relationships between non-anatomical reduction and occurrence of varus deformity in displaced supracondylar fractures of the humerus in children. The following results were obtained: 1. There were twenty-two males and eight females, twelve cases of type IIB and eighteen cases of type IIIfractures by Gartland classification. Posteromedial displacement and fractures through the olecranon fossa were most common pattern. 2. After closed reduction, eleven rotations and three medial displacements of distal fragment, and three angular deformities of medial cortex were observed in eleven cases. 3. Radiologically, the differences of carrying angle compared with normal side were decreased in twenty-one cases, no changes in three cases, and increased in six cases. 4. Two cubitus varus deformities were developed in decreased cases more than six degrees of carrying angle with residual rotation and medial displacement. 5. We obtained relatively good results in supracondylar fracture of the humerus in children treated by closed reduction and percutaneous K-wire fixation with grossly normal carrying angle.

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Change of Carrying Angle in Fracture of the Lateral Humeral Condyle in Children: The New Radiologic Carrying Angle Measuring Method: Jung Yoon Lee, Sung Keun Sohn, Keyong Taek Kim, Sung Soo Kim, Dong Man Park; J Korean Soc Fract 1995;8(1):140-151. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.140

The lateral condyle fracture of humerus in children is the second most common fracture among the elbow fractures. In dealing with this fracture, we have frequently encountered the various complications due to physeal plate and intraarticular involvement. Change of the carrying angle is one of the common complications, but many authors reported different results about the change of carrying angle. Also, it is too difficult to measure the carrying angle during the early stage of the treatment because of cast immobilization, motion limitation of elbow, and wide variations of radiologic carrying angle according to elbow position changes. We performed this study to find the more stable and predictable new radiologic measuring method about the carrying angle, and then analysed the factors affecting the changes of canying angle of the 23 patients of the lateral condyle fractures of the humerus in children who were treated and followed up more than twelve months at the Department of Orhopaedic Surgery, Dong-A University Hospital from May 1990 to April 1993. The results were as follows. 1. Carrying angles by Beals method showed variable values according to the elbow positions, but A-angles by the new measuring method were relatively stable regardless of the elbow positons. 2. Increase of clinical carrying angle was 3 cases, decrease was 9 cases, and ranges of clinical carrying angle change were from -7 degress to 14 degrees. Increase of A-angle was 7 cases, decrease was 4 cases, and ranges of A-angle change were from -10 degrees to +10 degrees. 3. The change of canying angle showed no correlation with Jacob stage, follow up duration, metaphyseal height and interval between injury and treatment. But the incidence and the amount of carrying angle change were increased according to the increased age at injury(r=0.62, P<0.01). 4. There were statistical significant correlation(r=-0.65, p<0.01) and regression between the change of canying angle and A-angle : Y=-0.99X+0.56(Y:change of clinical canying angle,X; A-angle change), (r2=0.42, P<0.01).

Citations

Citations to this article as recorded by

Reliability of the Radiographic Parameters in Pediatric Supracondylar Fracture
Yoon Hae Kwak, Dong Jou Shin, Kun Bo Park
Journal of the Korean Fracture Society.2010; 23(1): 90. CrossRef

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