Chen Xiaoliang,Zhou Zhiguo,Wu Xing,et al. Intraoperative application of ultrasound for supracondylar femoral fracture in children.[J].Journal of Clinical Pediatric Surgery,,18():30-33.
Intraoperative application of ultrasound for supracondylar femoral fracture in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 01
Page:
30-33
Column:
论著
Date of publication:
2019-01-20
- Keywords:
- ; Ultrasonography; Femoral Supracondylar Fracture; Surgical Procedures; Operative; Internal Fixators; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical value of ultrasonic technique in closed reduction plus internal fixation for supracondylar femoral fracture in children.MethodsRetrospective analysis was conducted for 12 children with supracondylar femoral fracture from January 2012 to June 2016.There were 8 boys and 4 girls with an average age of 67(8-144) months.Closed reduction,Kirschners wire internal fixation and plaster external fixation were performed under ultrasonic guidance.Operative duration,postoperative discharge time,complications and fracture healing time were recorded.Length of lower extremities,mechanical force lines of lower extremities and epiphyseal development of distal femur were measured at 6,12 and 24 months postoperation.And the Kolments criteria were employed for evaluating knee joint function at the last followup.ResultsDuring a followup period of over 1 year,there were no occurrences of such complications as neurovascular injury,displacement of fracture,Knee varus deformity,Kirschners wire loosening,osteomyelitis or ossifying myositis.The average time of fracture healing was (9.7±1.5)(8-12) weeks.All cases healed with a complete recovery of knee joint function.Gait returned to normal.All lower extremities were of an equal length and there was no rotation deformity.Based upon the Kolments criteria.The excellent and good rate was 100%.ConclusionUltrasound is safe,economical and reliable for guiding closed reduction and Kirschners wire fixation for supracondylar femoral fracture in children.
Last Update:
2019-01-22