Zhong Zhao-ping, Cao Jin, Ren Rong, Peng Lin-rui, Chen Qiu
Department of Pediatric Orthopaedics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China.
Zhongguo Gu Shang. 2009 Jan;22(1):27-8.
To determine the clinical features and therapeutic strategy of humeral supracondylar fractures with nerve injuries in children.
From June 2000 to December 2006,28 patients of humeral supracondylar fracture (Gartlang III) with never injuries were analyzed. Twenty-four patients were close injuries and the others were open. Sixteen cases (group A)were treated with close reduction and K-wires fixation. Twelve cases (group B)were treated with open reduction and nerve exploration, among them, contusive nerve injuries in 8 cases, incarceration in 3, complete neurotmesis in 1.
The symptoms of nerve injuries of 28 cases recovered completely within 4 to 6 weeks in 13 cases, 8 to 10 weeks in 2 cases and 12 weeks in 1 case in group A, meanwhile, within 4 to 6 weeks in 6 cases, 8 to 10 weeks in 3 cases and 12 to 16 weeks in 3 cases in group B.
Most nerve injuries in humeral supracondylar fractures in children can be cured after close reduction of the fracture. Sometimes, open reduction and nerve exploration are necessary, which has important practical significance.
