Limited open reduction with internal fixation for supraeondylar fracture of the humerus in children

Abstract

Objective To explore the application and efficacy of limited open reduction with internal fixation using cross Kersh pin for the treatment of Gartland's type Ⅲ supracondylar fracture of the humerus in children.Methods Limited open reduction with internal fixation was performed on 65 children with supracondylar fracture of the humerus.Short-term plaster external fixation was also applied postoperatively.Results All the fractures were healed in 65 children during a follow-up of 6 months to 1 year.According to the Cassebatum's rating system for assessing elbow function,the efficacy was excellent in 49 of 65 children,good in 13,and fair in 3,with a satisfaction rate of 95.4％.No apparent cubitus varus and myositis ossificans occurred.Conclusions Early aggressive limited open reduction with internal fixation,careful intraoperative anatomical reduction,and early postoperative functional exercise for the affected limb can effectively improve the efficacy and prevent the occurrence of complications. Key words: Supracondylar fracture of the humerus; Limited open reduction with internal fixation