Modified Closed Reduction and Percutaneous Kirschner Wires Internal Fixation for Treatment of Supracondylar Humerus Fractures in Children
作者机构:Department of Orthopedic SurgeryXiang'an Hospital of Xiamen universityXiamen 361000China
出 版 物:《Current Medical Science》 (当代医学科学(英文))
年 卷 期:2021年第41卷第4期
页 面:777-781页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金:supported by Program of the National Natural Science Foundation of China(No.82074233) Scientific Research Foundation for Advanced Talents,Xiang’an Hospital of Xiamen University(No.PM201809170009)
主 题:supracondylar humerus fractures closed reduction Kirschner wires internal fixation surgical method
摘 要:Objective Supracondylar humerus fractures are the most frequent fractures of the paediatric *** present study introduced a modified surgical procedure for treatment of supracondylar humerus fractures in *** From February 2015 to August 2019,73 patients with Gartland’s type II and III supracondylar fractures were treated with this modified ***,68 of all patients were followed up for 3–12 months(mean 8.25 months).The evaluation results included fracture nonunion,ulnar nerve injury,pin track infection,carrying angle and elbow joint Flynn *** The results showed that bone union was observed in all children,one case had an iatrogenic ulnar nerve injury,and the symptoms were completely relieved in 4 months after removing of the medial-side *** children had no cubitus varus deformity and no pin track infection,and the rate of satisfactory results according to Flynn’s criteria score was 100%.Conclusion The modified closed reduction and Kirschner wires internal fixation could effectively reduce the rate of open reduction,the risk of iatrogenic ulnar nerve injury,and the incidence of cubitus varus deformity in treatment of supracondylar humerus fractures in children.