Chen Xi,Guo Yuan..Shortterm followups of pediatric open Seymour Fracture.[J].Journal of Clinical Pediatric Surgery,,17():592-596.
Shortterm followups of pediatric open Seymour Fracture.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 08
Page:
592-596
Column:
论著
Date of publication:
2018-08-28
- Keywords:
- Seymour Fracture; Finger Phalanges; Epiphyses/IN; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the general rules,effective treatments,early results and complications of children with open Seymour fractures.MethodsTwentyone children with open Seymour fractures undergoing debridement and reduction from September 2016 to May 2017 were collected for followups of 5 (4~20) months.Preoperative epidemiological data,imaging examinations,postoperative functions,satisfaction scores and complications were analyzed.The average age was 8 (1~14) years.Early debridement,release of soft tissue indentation,reduction,Kirschner wire internal fixation,nail extraction,nailbed repair and cast immobilization were performed.ResultsEpiphysis injuries belonged to SalterHarris type Ⅰ (n=11) and type Ⅱ (n=10).All of them showed nail bed injury and 9 also had soft tissue laceration around skin.Fixation methods were single Kirschner wire (n=15,72%) and crossed Kirschner wire (n=6,28%).Twenty cases were followed up.17 patients had complete distal interphalangeal joint mobility and 18 were painfree.Two cases developed postoperative infection.All of them achieved imaging healing with an overall satisfaction of 9.3(8~10) points.There were 14 cases of postoperative nail complications,but function and satisfaction were not affected.ConclusionSeymour fractures require early debridement,reduction and fixation.Infection and nail complications are common.Shortterm function and satisfaction are excellent after early formal treatment.Longterm followups for complications are necessary.
Last Update:
2018-08-21