上腕骨〓上骨折の非観血的療法
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Supracondylar fractures constitute the most frequent type of fracture in children. In cases with marked displacement the swelling may be so marked that manual reduction is difficult. Also a high incidence of postoperative deformities, particularly cubitus varus deformities, has been found. As the fracture line was transverse and extended backward and upward, improper reduction and immobilization are responsible for many of poor results.In the case which showed marked cubitus varus deformity, x-ray showed the distal fragment inwardrotated and sometimes displaced medially. Particularly cubitus varus deformity was mainly due to the inwardrotation of the distal fragment. It is most important to reduce the inwardrotation of the distal fragment and to maintain that corrected position. To prevent the displacement of the rotation, the forearm maintain in middle or slight pronated position.The author's method of the reduction was reported.
- 西日本整形・災害外科学会の論文
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