External fixation was needed to raise the affected limb. After 3 days, functional exercise was performed. After 14 days, the suture was followed up for 8 months. The X-ray was reviewed 3 months after operation. The epiphysis was rich in growth. After 6 months, the fracture was completely healed without infection. Reconstruction, plate screw fracture and malunion, nonunion, tendon adhesion, interosseous muscle atrophy and other complications. The metacarpophalangeal joints and interphalangeal joints were better.

It is often encountered in our daily life, and it is often inconvenient for our daily life due to improper treatment. In the past, the treatment of metacarpophalangeal fractures was usually performed by manual reduction, small splint, external fixation of plaster cast or intramedullary needle, and cross needle fixation. Such methods are simple to operate and have low technical requirements, but they often bring to the patient: (1) complications such as joint stiffness, interosseous muscle atrophy, tendon adhesion, needle infection due to inability to perform early functional exercise; Due to the weak fixation of the fracture end, the fracture end does not heal or deform. The lighter affects the appearance, and the severe one causes the intermuscular muscle to be out of tension. When the fist is fisted, the fingers cross. The use of micro-plate screws for the treatment of metacarpal and phalanx fractures can effectively avoid the above complications. The technical operation requirements of this method are relatively high, and the fracture end can be firmly fixed, the anatomical reduction can be achieved, the functional exercise can be performed early, and the function of joint function recovery and maintenance can be promoted. The ideal internal fixation method for the treatment of severe humeral supracondylar fracture in children Zhu Hanguang (Department of Orthopaedics, Zhoupu Hospital, Shanghai Nanhui 201318) is a common fracture of the humerus in children. The focus of treatment is to prevent ischemic contracture and cubitus varus. The complications have been applied in our hospital since 1990. The ulnar humeral traction and manipulation have been used to treat 34 cases of severely displaced humeral supracondylar fractures in children. The results are satisfactory. The following are the clinical data. I. General information: 34 cases in this group, 26 males 8 females, aged 3-13. Types of fractures: 22 cases with partial ruler deviation, 8 cases with straight extension and squat type, and 4 weights for flexion type were t3kg. At the same time as traction, the initial manipulation was performed to correct the apparent deformity of the elbow joint. After 3d, the film was removed according to the reset. The situation adjusts the traction weight and corrects the lateral deformity. After 5-7d, the film is taken again. If the fracture has reached the anatomical reduction, the traction h 3w is maintained, the traction is removed, and the external fixation is performed. If the fracture does not reach the anatomical reduction, the ketamine is in the ketamine. After anesthesia, the X-ray fluoroscopy technique was completed and the plaster was fixed. After 3 to 4 weeks, he went to the gypsum for elbow joint function exercise. 3. All the cases were clinically healed without ischemic muscle contracture. For example, there were no nerve damage and Volkmarm ischemic contracture at admission. Some cases were reviewed within 2 months, and the appearance of the elbow joint was not deformed. The flexion of the elbow joint was suppressed. Câ–² After the hospital, the umblis could be the same as the healthy side. 1 test

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