Lu Yunan,Lin Ran,Pan Yuancheng,et al.Treatment of T-type intercondylar humeral fractures with closed reduction K-wire and cannulated screw internal fixation[J].Journal of Clinical Pediatric Surgery,,19():508-512.[doi:10.3969/j.issn.1671-6353.2020.06.009]
Treatment of T-type intercondylar humeral fractures with closed reduction K-wire and cannulated screw internal fixation
- Keywords:
- Humeral Fractures; Fractures; Closed; Fracture Fixation; Adolescent
- CLC:
- R726.8;R683.41;R687.3+2
- Abstract:
- Objective To explore the approach and efficacy of closed reduction K-wire and cannulated screw internal fixation for adolescent T-type intercondylar fractures of humerus.Methods T-type intercondylar humeral fractures were analyzed retrospectively.Eighteen cases underwent closed reduction and internal fixation with K-wire and cannulated screw and elbow joints were fixed with high polymer plaster for 4-6 weeks.When imaging examination indicated at a statisfactory formation of osteotylus,high polymer plaster and K-wire were removed and elbow joint function exercise resumed.Results The Mayo elbow function score was optimal(n=9)and decent(n=7).The fine rate was 88.9%.One child failed to go through the review and perform functional exercise on time after operation.There were pain and stiffness and the MEPS score was merely 55.The mean carrying angle was 18°(10°-27°)without any deformities.No significant difference existed in elbow muscle strength between affected and healthy sides.One case of K-wire tract infection was cured after dressing change and needle extraction.Another case with median nerve injury before surgery was observed and normalized at 3 months after surgery.Conclusion Closed reduction K-wire and cannulated screw internal fixation are simple and effective for adolescent T-type intercondylar humeral fractures.With a low cost and a satisfactory efficacy,it is worthy of wider clinical promotion.
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Memo
收稿日期:2019-12-07。
基金项目:福州市科技计划项目（编号：2018—S—101—3）
通讯作者:陈顺有,Email:csy508@163.com