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Đánh giá kết quả điều trị bảo tồn gãy kín trên lỗi cầu xương cánh tay bằng kéo nắn đặt nẹp cánh cẳng tay ở trẻ em

Bài viết tiến hành nhận xét đặc điểm lâm sàng và X-Quang của trẻ bệnh gãy trên lồi cầu xương cánh tay. Đánh giá kết quả điều trị gãy kín trên lồi cầu xương cánh tay độ II, III bằng phương pháp kéo nắn đặt nẹp bột cánh cẳng bàn tay. | Journal of Pediatric Research and Practice Vol. 5 No. 1 2021 17-24 Research Paper Evaluate the Treatment Effect of Paediatric Supracondylar Humerus Closed Fractures by Stretching and Arm Cast Brace Hoang Hai Duc Phung Cong Sang Nguyen Vu Hoang Nguyen Thu Ha Nguyen Thu Huong Nguyen Thi Ha Vietnam National Children s Hospital No 18 879 La Thanh Dong Da Hanoi Vietnam Received 05 January 2021 Revised 10 February 2021 Accepted 17 February 2021 Abstract Bachground Purpose We studied to improve the technique of placing the arm cast brace to treat paediatric supracondylar humerus fractures to reduce the disadvantages of the arm cast. This study is to review the clinical and X-ray characteristics of paediatric supracondylar humerus fractures. Evaluate the treatment effect of closed fracture on degree II and III by stretching and arm cast brace. Methods Retrospective descriptive study was carried out from 1 2016 to 12 2017 at the Pediatric Orthopedic Department of the Vietnam National Children s Hospital on the number of children diagnosed paediatric supracondylar humerus fractures of degree II III. Results Mainly seen at the age of under 6 years old male is higher than female left hand has a higher rate. 22 children with pain and swelling no blisters 1 child with numbness at the time of examination with grade II fractured in 10 children 33.33 grade III in 20 children 66.67 . After a week there were 4 children in pain 3 children had swelling and 1 child blisters. After 4 weeks of 100 re-examination the results of a good bone healing on X-ray the cast brace was removed and the rehabilitation was instructed. Judging results after 6 months 12 months and 24 months good was 71.67 fair was 20 average was 6.67 and bad was 1.67 according to Flynn s standard. Conclusions The arm cast brace applied to paediatric supracondylar humerus closed fractures improves the treatment quality by the feature of the lightweight brace which holds the limb during immobility with the elasticity of .