| Objective: To investigate the effect of supracondylar fracture of humerus in children treated with different methods. Methods: 70 cases of supracondylar fracture of humerus were treated with 3 methods, group A was treated with manual reduction and splint external fixation made of cardboard. group B was treated with closed reduction and percutaneous crossed-pin interior fixation. group C was operated with crossed-pin and interior fixation. Results: About the time of fracture concrescence: In Ridit analysis, the difference of therapeutic effect was significant between group A,B and group C, but group A and group B has no statistical significance. About the function of the elbow: The result of statistical treatment demonstreated that the difference between group A, B and group C has statistical significance, but group A and group B has no statistical significance. About the rate of occurrence of cubitus varus: group B excelled group A and has statistical significance, group C excelled group B a little, but group B and group C has no statistical significance. Concltsion: Stable fractures which have no displacement or little displacement can be treated with manual reduction and external fixation. Closed reduction and percutaneous crossed-pin fixation is preferred for the treatment of those unstable fractures such as McIntyre type III. For those needing operation, crossed-pin and interior fixation has very good effect with less possibility of cubitus varus. |
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