Feng Wei,Wang Qiang,Song Baojian,et al.Differential anatomical or functional reduction of early clinical outcome for supracondylar humeral fractures.[J].Journal of Clinical Pediatric Surgery,,17():769-773.
Differential anatomical or functional reduction of early clinical outcome for supracondylar humeral fractures.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
769-773
Column:
论著
Date of publication:
2018-10-25
- Document code:
- A
- Abstract:
- ObjectiveTo compare the early outcomes between anatomical and functional reduction in closed reduction and percutaneous pin fixation for children with Gartland III supracondylar humeral fractures.MethodsA retrospective review was conducted for 62 children with Gartland III supracondylar humeral fractures undergoing closed reduction and percutaneous pin fixation from January 2016 to June 2017.Based upon the reduction criteria, they were divided into anatomic and functional reduction groups. The flexional and extensional functions of elbow joint were evaluated at 6,8 and 12 weeks postoperation and the outcomes compared at 12 weeks postoperation for anatomical and functional reduction groups.ResultsThere were 42 children with anatomical reduction and another 20 with functional reduction.In anatomical reduction group,the loss value of elbow extension angle was (34.6±6.93)°,(29.05±6.37)° and (11.31±5.19)° at 6,8 and 12 weeks postoperation and the loss value of elbow flexion angle (29.05±5.76）°,（20.60±6.55）° and (10.24±5.52) respectively.In functional reduction group,the loss value of elbow extension angle was（39.75±6.17）°,(25.25±7.34)° and（16.50±6.30）° at 6,8 and 12 weeks postoperation and the loss value of elbow flexion angle（32.25±5.45）°,(24.75±5.25）° and（14.00±7.36）° respectively.At 12 weeks postoperation,both loss value of elbow extension and flexion angle were statistically significant between two groups (t=-3.433,P=0.001 and t=-2.247,P=0.028).Whereas,the loss value of humeralulnar angle was 4.29±3.76°and 4.50±3.59°respectively in two groups at 12 weeks postoperation.And it was not statistically significant（t=-0.213,P=0.832）.ConclusionElbow flexional and extensional function both improve gradually after anatomical and functional reductions.However,elbow flexional and extensional function both improve gradually after anatomical and functional reductions.Anatomical reduction is superior to functional reduction during early postoperative period.No significant difference exists in humeralulnar angle.As compared with functional reduction,anatomical reduction offers better early elbow joint function and clinical outcome.
Last Update:
2018-10-24