Abstract:
Objective
To investigate the mechanism and treatment of supracondylar femoral closed fracture associated with sciatic nerve injury.
Methods
15 cases of supracondylar femoral closed fracture associated with sciatic nerve injury patients underwent surgical treatment. The fracture was taken reposition and fixation, sciatic nerve exploration, nerve decompression or fascicular suture.
Results
The occurrence of excellent nerve recovery was 6 cases, fair recovery was 4 cases, poor recovery was 3 cases, bad recovery was 2 cases.
Conclusions
Patients with supracondylar femoral closed fracture associated with sciatic nerve injury should underwent the surgery as soon as possible,with the operation of fracture reposition and fixation,sciatic nerve exploration,nerve decompression or fascicular suture,in order to obtain a better outcome.It has a positive effect in operation and prognosis on the electromyography with intraoperative visual observation of the extent of sciatic nerve injury.
Key words:
Femoral fractures,
Fractures,closed,
Sciatic nerve,
Injury
Wen Wang, Bingsheng Li, Lifeng Liu, Yongxian Zhang, Pingshan Wang, Xuecheng Cao. Treatment of closed supracondylar femoral fracture complicated with sciatic nerve injury[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(02): 24-26.