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KMID : 0386419990120041040
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Journal of the Korean Fracture Society
1999 Volume.12 No. 4 p.1040 ~ p.1045
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Treatment of Supracondylar Fractures of the Humerus in Children by Open Reduction
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Kim Jung-Ryul
Lee Jun-Mo
Lee Ju-Hong
Sin Pil-Soo
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Abstract
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Purpose: To analyze the results of open reduction in displaced supracondylar fractures of thehumerus 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 openreduction of severely displaced supracondylar fractures were reviewes retrospectively over a 2-year period(1993 to 1997). Elbow range of motion, carrying angle, and radiographicmeasurement of the Baumann angle were assessed, then each distal humerus were compared touninjured side.
RESULTS: At follow-up, the Baumann angle and carrying angle differed by an average of 2degrees and 4 degrees respectively compared with the unaffected arm. Range of motion wassatisfactory in 96% of patientl, and there wah no significant cubitus varus.
Results:Open reduction of severely displaced supracondylar fractures is a safe andeffective procedure, for which orthopedists should lower their threshold, given certainappropriate indicators.
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KEYWORD
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Humerus, Supracondylar fracture, Open reduction
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