Jiang Enzhe,Ge Yihua,Shen Kaiying.Closed reduction plus single intramedullary Kirschner wire fixation for type Ⅱ phalangeal neck fractures in children[J].Journal of Clinical Pediatric Surgery,,21():74-77.[doi:10.3760/cma.j.cn.101785-201911042-014]
Closed reduction plus single intramedullary Kirschner wire fixation for type Ⅱ phalangeal neck fractures in children
- Keywords:
- Phalangeal Neck Fractures; Fracture Fixatio; Internal Fixators; Child
- Abstract:
- Objective To evaluate the efficacies and advantages of closed reduction plus single intramedullary Kirschner wire fixation for type Ⅱ phalangeal neck fractures in children. Methods From January 2017 to January 2019, clinical data were retrospectively reviewed for 13 hospitalized children with Al-Qattan type Ⅱ phalangeal neck fractures.Operative duration, postoperative outcomes and complications were recorded. Results The average age was (7.5±4.1) years, the average follow-up period (10.5±7.5)(6-28) months and the average operative duration (11.1±6.2) min.All fractures were well healed at the last follow-up.The average fracture healing time was (4.2±1.1) weeks, and the average internal fixation time (5.1±1.2) weeks.After removal of internal fixation, interphalangeal joint resumed painless flexion and extension within (3.5±1.5) weeks.Only one child had mild rotational residual deformity.None of them had nonunion, slow union, avascular necrosis or premature closure of growth plate. Conclusion Closed reduction plus single intramedullary fixation is both safe and effective for type II phalangeal neck fractures in children.
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Memo
收稿日期:2019-11-19。
基金项目:上海市卫生和健康委员会项目（20184Y0133）
通讯作者:沈恺颖,Email:skyscmc@163.com