Yuan Yue,Guan Zhiye,Sun Jun,et al.A comparative study of open reduction versus closed reduction plus percutaneous Kirschner wire fixation in the treatment of Song Ⅲ lateral humeral condylar fractures in children[J].Journal of Clinical Pediatric Surgery,,21():540-545.[doi:10.3760/cma.j.cn101785-202108034-008]
A comparative study of open reduction versus closed reduction plus percutaneous Kirschner wire fixation in the treatment of Song Ⅲ lateral humeral condylar fractures in children
- Keywords:
- Lateral Humeral Condylar Fracture; Reconstructive Surgical Procedures; Open Fracture Reduction; Closed Fracture Reduction; Fracture Fixation; Internal/MT; Treatment Outcome; Child
- Abstract:
- Objective To explore the selection of surgical approaches for Song type Ⅲ lateral humeral condylar fractures in children.Methods From January 2017 to August 2020, clinical data were retrospectively reviewed for 40 children with lateral humeral condylar fractures.According to different operative approaches, group A underwent open reduction and percutaneous Kirschner wire internal fixation while group B closed reduction and percutaneous Kirschner wire fixation.Both groups had plaster fixation.At 6 weeks, 3 months, half a year and 1 year post-operation, range of motion of elbow joint was evaluated by radiograph.And Hardacre criteria were employed for evaluating the clinical and imaging outcomes at half a year and 1 year post-operation.Results All of them attained the standard of fracture imaging healing at 6 weeks post-operation and began functional exercises after extracting Kirschner wire at an outpatient clinic.At half a year post-operation, according to the Hardacre standard, efficacy was excellent (n=12), decent (n=7) and poor (n=1) in group A and excellent (n=15) and decent (n=5) in group B.And there was no significant inter-group difference.At 1 year post-operation, according to the Hardacre standard, efficacy was excellent (n=15), decent (n=4) and poor (n=1) in group A and excellent (n=15) and decent (n=5) in group B.And there was significant inter-group difference (P<0.05).Conclusion Surgery is ideal for Song type III lateral humeral condylar fractures.Closed reduction and percutaneous Kirschner wire fixation are not only mini-invasive without incision, but also offer more advantages in restoring range of motion of elbow joint and reducing bone and joint complications.
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Memo
收稿日期:2021-08-14。
基金项目:1.安徽省卫生健康委科研项目（AHWJ2021b136）；2.安徽医科大学校科学研究基金资助项目（2020xkj254）
通讯作者:李阳,Email:totty8122@sina.com