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| Year : 2004 | Volume
: 11
| Issue : 4 | Page : 258-261 |
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The surgical management of severely displaced supracondylar fracture of the humerus in childhood
SO Ogunlade, TO Alonge, AB Omololu, SA Salawu
Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria
Correspondence Address:
S O Ogunlade
Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
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A total of 28 children with severely displaced supracondylar fractures of the humerus were operated between January 1997 and December 2001 using the posterior approach raising a tongue of triceps and stabilisation of the fractures with two crossed Kirschner wires. All the supracondylar humeral fractures were extension type. The mean age was 6.9 years with male/female ratio 1.5:1. Fall at home accounted for 85.7% of the cases while 67.9% presented with injury to the left elbow. In 92.9% of the children the triceps muscle power was grade 5, 71.4% could flex the elbow joint beyond 120 angle and only 10.7% had 15 degrees of extension lag at the elbow joint at six months. All had within normal carrying angle with 64.3% having carrying angle between 0 degrees - 10 degrees. The scar was cosmetically acceptable in 27 patients (96.4% ) at six-months. |
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