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KMID : 0386419940070010065
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Journal of the Korean Fracture Society
1994 Volume.7 No. 1 p.65 ~ p.71
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Change in Carrying Angle after Supracondylar Fracture of the Humerus in Children
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조현오
곽경덕/조성도/김병용
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Abstract
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Supracondylar fracture of the humerus is the most common fracture about the elbow in children. Due to the thinness in this region, it is difficult to reduce the displaced fracture and to maintain the reduction. The purpose of this study is to
review the
change in carrying angle after this fracture with references to the level and type of the fracture and method of treatment.
The authors reviewed 90 cases of supracondylar fracture in children. Ten cases were treated conservatively, sixty eight by percutaneous pinning and twelve by open reduction. With regard to the level of the fractures, sixty nine cases(78.9%)
revealed
fracture through the olecranon fossa. And the less the age of the patient, the more distal was the level of the facture. Change in carrying angle was more common in fractures through the olecranon fossa, in cases of type 4 fractures and in cases
of
percutaneous pinning. About one third of the cases with fish-tail sign or medial impaction on postoperative roentgenogram showed change in carrying angle of more than 6 degrees. Cases with change in carrying angle or more than 6 degrees revealed
insufficient reduction or inadequate fixation. In cases of open reduction the results were good or excellent in all.
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KEYWORD
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