Curative Effect Observation Of Distal Humeral Epiphysis Separation Treated By Closed Reduction And Percutaneous Pinning

ObjectiveThis research is about distal humeral epiphysis separation treatment research progress, and evaluation technique closed reduction, kwire fixation in treating pediatric distal humeral epiphysis all the clinical curative effect of separation, analyzes the factors affect curative effect, for distal humeral epiphysis separation treatment options provide clinical evidence.Methods40cases were analyzed retrospectively with into standard distal humerus all cases Hou separation, divided into gimmick closed reduction, kwire fixation (treatment group) open reduction and internal fixation (control group) every20cases, access to medical records and postoperative follow-up, the two groups were observed the fracture healing time, analysis the clinical after one year imaging data (Baumann Angle, support the Angle), observation records of the complications such as cubitus varus, fracture of elbow don’t heal, nerve vascular injury during the treatment period, fixation back loose needles, mouth of infection, the statistical analysis. The Mayo elbow score, Flynn evaluation standard of postoperative function of elbow joint and turned to evaluate the situation.ResultsTwo groups of patients with all the Mayo elbow score, the treatment group was85%, and the control group was75%, the significant difference (P<0.05); According to the Flynn evaluation standard treatment group was80%, and the control group was65%, the significant difference (P<0.05). The treatment group in the healing time, follow-up of imaging material, elbow turn inward, are better than the control group incidence.Conelusion (1) distal humerus all children Hou separation treatment, for no of vascular injury patients with fracture of the closed, no operation indications are the preferred methods by Gerard pique’s reset needle internal fixation for; With operation indications should be timely open reduction and internal fixation.(2) the technique by Gerard pique’s reset needle internal fixation for distal humerus all the Hou separation, promote the fracture healing, joint function recovery is better than open reduction and internal fixation, cubits rate lower than in turn open reduction and internal fixation.(3) the overall evaluation technique by Gerard pique’s reset needle internal fixation for distal humerus all the Hou separation, was higher than the open reduction and internal fixation, can achieve good joint rehabilitation, reduce the incidence of elbow turn, and minimally invasive, economic, and clinical application.