Closed reduction of proximal radius fractures

Closed reduction of the proximal humerus for the treatment of proximal humerus fractures. The proximal humerus fracture accounted for more than 1% of the fracture in children, mostly in children with close to closure of the epiphysis, 9 to 14 years old. There were no significant differences in gender and left and right sides. The most commonly used type is the Jeffrey type. Treatment includes: 1 simple fixation without resetting; 2 closed closure of manipulation; 3 reduction of percutaneous sled; 4 reduction of intramedullary needle sled; 5 open reduction and internal fixation; 6 humeral head or small head scrap. There are many factors that determine the method of treatment, including the extent of fracture displacement, the relationship with other injuries, the age of the sick child, and the time after injury. This section focuses on methods of closed closure and open reduction. Treatment of diseases: fracture of the tibia Indication Closed reduction of the proximal humerus fracture is suitable for incomplete fracture of the proximal humerus and an angular deformity of <60°. Preoperative preparation Regular preoperative examination. Surgical procedure The affected elbow joint is straightened, and the assistant pulls the proximal end of the elbow joint to the proximal end with one hand, and the other hand must be placed on the inner side of the distal end of the humerus to apply force to the outside of the elbow joint, so that the elbow joint is opened to the inside. The surgeon grasps the forearm with one hand and pulls it to the distal end, keeping the forearm supination position to relax the supinator and biceps muscles; maintaining the elbow varus tension to overcome the displacement of the distal end to the ulnar side, which is good for fracture Reset; the thumb of the other hand is pressed in front of the small head of the humerus, flexing the elbow joint, and the forearm is pushed forward to reset the humeral head. The fluoroscopy confirmed the reduction of the humeral head.

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