摘要
Abstract
Objective:To analyze the clinical effect and related risk factors of Gartland type II-III supracondylar fractures of humerus in children in the emergency closed reduction and percutaneous Kirschner wire fixation. Methods:From January 2008 to June 2013,112 children of Gartland type II to III supracondylar humeral fractures were treated in children in emergency closed reduction and percutaneous K wire fixation,including 72 males and 40 females with an average age of 6.2 years old rang⁃ing from 2 to 11 years old. Among them,74 cases were in Gartland typeⅡfractures,38 cases were in typeⅢ;The duration from injury to surgery time was 2.5 to 8 hours(averaged 4.6 hours). Elbow cast was applied after operation with the elbow extended of 100 degrees for 4 to 6 weeks,then the gypsum and Kirschner wires were removed. Results:All patients were follow-up from 6 to 60 months(averaged 12 months). All fractures reached clinical healing. The final follow up was assessed by Flynn criteria,the result was excellent in 86 cases,good in 23 cases,general in 3 cases,excellent and good rate was 97.3%. Three patients had mild cubitus varus deformity without orthopedic treatment. No pin tract infections,iatrogenic ulnar nerve injury,compartment syn⁃drome,and complications such as Volkmann ischemic contracture occurred. Conclusion:Closed reduction and percutaneous Kirschner wire fixation had advantages of exact reduction,firm fixation,fewer complications,less pain in children undergoing emergency surgery,and high success rate,so it is a safe and efficient treatment for humeral supracondylar fracture in children.关键词
肱骨骨折/儿童/骨折固定术,内/外科手术Key words
Humeral fractures/Child/Fracture fixation,internal/Surgical procedures,operative
