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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 2, 232-238.
doi: 10.1302/0301-620X.86B2.13774  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Treatment of supracondylar fracture of the humerus in children by skeletal traction in a brace

K. Matsuzaki, MD, Associate Professor1; N. Nakatani, MD, Orthopaedic Surgeon1; M. Harada, MD, Orthopaedic Surgeon2; and T. Tamaki, MD, Professor and Chairman1

1 Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, Japan.
2 Department of Orthopaedic Surgery, Wakayama Rosai Hospital, 435 Koya, Wakayama 640-8435, Japan.

Correspondence should be sent to Dr K. Matsuzaki.

In 1980, we developed a specially designed brace for treating supracondylar fractures of the humerus in children, along with an easy and safe technique of reduction by skeletal traction. This method, which takes into consideration only the medial tilting and anterior angulation of the distal fragment, achieves complete reduction, ignoring any lateral, posterior and minor rotational displacements of the fragment. Skeletal traction is applied through a screw inserted into the olecranon and the angulation at the fracture site is reduced regardless of the anatomical position without manipulation.

We treated 193 children with displaced supracondylar fractures of the humerus using this method between 1980 and 2001. Only four children (2%) developed cubitus varus. The majority obtained an excellent range of movement at the elbow; one had a 25° limitation of flexion. This technique is an effective and easy method of treating supracondylar fractures of the humerus in children.




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A. MICHAEL and K. MATSUZAKI
Treatment of supracondylar fracture of the humerus in children by skeletal traction in a brace
J Bone Joint Surg Br, March 1, 2005; 87-B(3): 434 - 434.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General