Feng Wei,Wang Qiang,Song Baojian,et al.Open reduction and internal fixation with removable Kirschner wires and absorbable sutures for olecranon fractures in children.[J].Journal of Clinical Pediatric Surgery,,17():367-371.
Open reduction and internal fixation with removable Kirschner wires and absorbable sutures for olecranon fractures in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 05
Page:
367-371
Column:
论著
Date of publication:
2018-05-28
- Keywords:
- Olecranon fracture; Absorbable sutures; Children
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical approaches and therapeutic efficacy of open reduction and internal fixation with removable Kirschner wires and absorbable sutures for olecranon fractures in children.MethodsRetrospective analyses were performed for the clinical data of children with olecranon fracture undergoing open reduction and Kirschner wire absorbable suture fixation from January 2015 to January 2017. According to the Murphys olecranon fracture scoring system,postoperative pain,function and range of motion were evaluated in three aspects. Imaging evaluation was 4 points out of 15. The total score was above 18 points for excellence,17 points for good,16 points for fair and under 16 for poor.ResultsThe average followe-up period was (6~28)(16.16±6.15) months. According to the Murphys scoring system,pain score was 4.86±0.35,functional score 5.00±0.00,range of motion 4.86±0.35,imaging score 4.00±0.00 and total score 18.73±0.69 points. The outcomes were excellent (n=26),good (n=4),fair (n=0) and poor (n=0). Among excellent cases,the fractures were of pure olecranon (n=22),radius neck (n=1) and lateral humeral condyle (n=3); among good cases,there were cocurrent fractures of radial neck (n=3) and lateral humeral condyle (n=1).ConclusionWith advantages of minimal epiphyseal injury,stable fixation,early postoperative training and excellent elbow joint function recovery,open reduction and internal fixation with removable Kirschner wires and absorbable sutures is efficacious for olecranon fractures in children.
Last Update:
2018-05-23