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KMID : 0386420070200010058
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Journal of the Korean Fracture Society
2007 Volume.20 No. 1 p.58 ~ p.63
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Treatment for the Supracondylar Fractures of the Distal Humerus with Cannulated Screw
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Park Jin-Su
Chung Yung-Khee
Yoon Jung-Han
Noh Kyu-Cheol
Chung Kook-Jin
Lee Dong-Nyoung
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Abstract
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Purpose: To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods with cannulated screw.
Materials and methods: Eight patients, aged 49 to 82 years (average, 65 years), were reviewed after a mean follow-up of 16 months (range, 12∼24 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). All patients underwent closed reduction. Percutaneous fixation with cannulated screws was performed in 8 patients. Three of 8 patients had associated medical problems and one patient had distal radius fracture. The functional results were assessed by the Mayo Elbow Performance Score.
Results: Mean operation time was 59 minutes (45∼75) and all the patients with cannulated screw fixation had bony union and were able to early ROM exercise. Mean ranges of motion was 5∼120 degrees with excellent functional results. Functional evaluation of elbow joint by Mayo method showed mean value of 88 (75∼95).
Conclusion: The cannulated screw fixation of supracondylar fracture of humerus, especially in the elderly aged group with medical disease had excellent functional results (rigid fixation & early ROM exercise) due to shortening of surgery time and anesthesic time, combined with decreased technical difficulties of the surgical procedure.
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KEYWORD
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Humerus, Supracondylar, Fracture, Cannulated screw
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