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Results of Closed Reduction and Percutaneous Fixation of the Supracondylar Fractures of the Humerus in Adults
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  • Journal title : Clinics in Shoulder and Elbow
  • Volume 5, Issue 2,  2002, pp.102-109
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/CiSE.2002.5.2.102
 Title & Authors
Results of Closed Reduction and Percutaneous Fixation of the Supracondylar Fractures of the Humerus in Adults
Park, Jin-Soo;
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 Abstract
Purpose: To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods in adults Materials and Methods: Seven patients, aged 55 to 52 years (average,69 years), were reviewed after a mean follow-up of 37 months (range, 11-65 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). Six patients underwent closed reduction and one patient, open reduction after failure of closed reduction. Percutaneous fixation with cannulated screws was performed to the 4 patients, per- cuta)leous fixation with Kirschner wires in 3 patients. All except one patients have associated medical problems. The results were assessed based on the Mayo Elbow Performance Score. Results: All the patients with cannulated screw fixation had stable bony union with excellent ranges of motion (mean: 5-125 degrees). All the three patients who received percuatnaous smooth K-wire fixation had nonunion with poor results, one of them had changed into cannulated screw. and then had good result. Conclusion: Although simple supracondylar fracture is similar to the pediatric fracture in nature, it should be firmly fixed with the method such as threaded cannualted screw rather than the simple fixation with K-wires.
 Keywords
Supracondylar fracture;Humerus;Adult;
 Language
Korean
 Cited by
1.
완전 전위된 소아 상완골 과상부 골절의 치료 방법 비교 -관혈 정복 후 내고정술과 도수 정복 후 경피적 핀 고정술의 결과 비교-,이상호;최준철;나화엽;이영상;최준원;이상윤;원종원;신민호;김우성;

Clinics in Shoulder and Elbow, 2006. vol.9. 1, pp.96-104 crossref(new window)
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