One year after surgery she regains almost all of hand and elbow functions with satisfying range of motion. After the removal of the cast and K wire she was sent to intensive rehabilitation. The patient was put in cast immobilisation after the surgery for four weeks. We also have done osteotomy of the humerus for correction of the angular deformity and fixation with K wire. After four months she was admitted in University Clinic for Orthopaedic Surgery in Skopje were we perform operation of the left elbow, with removing callus formation in which we find entrapped median and ulnar nerves. Classification System Used: Classification system proposed by Gartland was used which defines type-I fractures as undisplaced, type-II fractures as displaced. Due to loss of left hand function, EMG was made and the EMG result showed acute lesion of the nerves of left forearm caused by possible nerve compression (n. With poor to no function of the left hand she was send to physical therapy for duration of 10 days, but she did not gain her functions of the left hand, almost all active movements of the left hand were impossible and the muscles of the left un-derarm were hypotonic.
She was treated with closed reduction (without anaesthesia) and cast immobilization for four weeks.
Posteromedial displacement of the distal fragment is the most frequent however, the radial and median nerves are equally affected. Extension-type fractures represent 97 to 99 of cases. She was admitted in local hospital where the clinical examination and X ray were made and they confirmed the diagnosis of supra-condylar fracture of the left elbow (Gartland Type III). Supracondylar fractures of the humerus are the most frequent fractures of the paediatric elbow, with a peak incidence at the ages of five to eight years. K, 7 years old, had sustained a supracondylar fracture of the left elbow after the fall on the left hand with elbow extended.
0 kommentar(er)
