Yao Jie,Shen Xiangyang,Jia Guoqiang.Outcomes of posterior open reduction plus internal fixation of capitellar fractures in children[J].Journal of Clinical Pediatric Surgery,,():254-257.[doi:10.3760/cma.j.cn101785-202301007-010]
Outcomes of posterior open reduction plus internal fixation of capitellar fractures in children
- Keywords:
- Capitulum Humerus; Fracture; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the efficacy of open reduction plus internal fixation with compression screws for pediatric capitellum fracture.Methods From December 2018 to January 2022,the relevant clinical data were retrospectively reviewed for 14 children hospitalized with coronal capitellum fracture.There were 13 boys and 1 girl with an average age of (13.47±1.31)(10-15) year.The involved side was left (n=10) and right (n=4).The time from injury to operation was (2.61±1.32) day.Imaging studies of computed tomography (CT) and three-dimensional reconstruction pre-operation were examined.According to the Bryan Morrey classification scheme,the clinical types were Ⅰ (n=8) and Ⅳ (n=6).According to the criteria of Boston Children’s Hospital,all fractures belonged to coronal shear type Ⅰb.Open reduction was performed via Kocher approach and compression screw fixation.Elbow function was evaluated by Mayo and Quick DASH standards.At the last follow-up,healing,appearance,necrosis,smoothness of articular surface and osteoarthritis of capitellum fracture were evaluated by radiography.Results The perioperative parameters were intraoperative volume of blood loss (36.67±15.60) ml,fluoroscopic frequency (9.32±5.37),incision length (5.54±1.93) cm,hospitalization stay (7.06±2.45) day and operative duration (64.38±12.84) min.During an average follow-up period of (31.04±4.05) month,there was no occurrence of infection,internal fixation loosening or plaster pressure sore.Mayo score of elbow joint was (94.62±3.31) point.At the last follow-up,there were smooth articular surface and normal anatomy of capitellum.There was no onset of nonunion,necrosis of capitellum humeri,osteoarthritis or joint function limitation.Conclusions Early open reduction plus compression countersunk nail internal fixation of coronary shear capitellum fracture is mini-invasive with minimal injury to articular cartilage.With rapid functional recovery,it offers excellent short-term outcomes.
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Memo
收稿日期:2023-1-9。
基金项目:国家自然科学基金面上项目(61976008);安徽医科大学基金项目(2022xkj111)
通讯作者:贾国强,Email:jgqdor@126.com