Minimal incision and lateral tension band for supracondylar fracture of the humerus in children
KANG Deng-shun
HOU Yu-cai
Abstract：Objective To study the effect of complete dislocated supracondylar fracture of the humerus in children with lateral tension band with internal steel wire fixation through bilateral triceps approach.Methods Totally 61 children with completely dislocated humeral supracondylar fracture were treated by lateral tension band with internal steel wire fixation through bilateral triceps approaches.Among them 47 were male and 14 were female with an average age of 8.5(3-13) years.Fifty-five cases were injured from falling and 6 were from road traffic accidents.Fifty-six cases were closed injury and 2 were open injury.Fifty cases were on the right and 11 on the left with 57 cases of extension type and 4 cases of flexion type.Tubes were inserted during operation for drainage the blood after operations.Early functional exercises were done without external fixation.Results All 61 cases were followed-up by X-ray for 3-36 months,20 months on average.Anatomy reduction was achieved in all patients.All fractures achieved bone union without cubitus varus,and the average union time was 8 weeks.According to Flynn function assessment system,the curative effect was excellent in 42 cases,good in 16,fair in 2 and poor in 1.The excellent and good rate was 95%.Conclusion Minimal incision and lateral tension band for complete dislocated supracondylar fracture of the humerus in children has many advantages such as simple implement,reliable fixation,satisfactory recovery of elbow joint function after operation.It is an ideal method for the treatment of the humeral supracondylar fractures.
Keywords：supracondylar fracturestension bandinternal fixationminimal incisionchildren
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 433-435 )