Lu Xian-Zheng, Hu Chang-Xian, Liu Ben-Hui
Xinxu Town's Health Center, Orthopedics and Traumatology, Department of Yangxi Hospital of Traditional Chinese Medicine, Yangxi 529800, Guangdong, China.
Zhongguo Gu Shang. 2012 Oct;25(10):872-4.
To explore the clinical effect of manipulative reduction and lateral percutaneous K-wire fixation on supracondylar humerus fractures.
From Feb. 2004 to Jun. 2010,128 cases of supracondylar humeros fractures in children (96 boys and 32 girls) were treated by manipulative reduction and lateral percutaneous K-wire fixation. The average age of the children was 8 years old ranging from 2 to 15 years. Among them, 112 cases were extension fractures, 16 were flexion type; 102 cases belonged to ulnar deviation, and 26 cases belonged to radial deviation. After treatment, the elbow flexion range and carrying angle of the children were measured under the Flynn evaluation standard while considering the postoperative complications status to analyze the clinical effect on manipulative reduction and lateral percutaneous K-wire fixation.
All these children were followed up from 2 to 36 months (16 months on average). According to Flynn evaluation standard,the result were excellent in 116 children (90.6% of the total patients), good in 11 (8.6%), fair in 1 (0.8%). No infection, no ischemic muscular atrophy and no nerve damage had been found during the treatment.
The manipulative reduction and lateral percutaneous K-wire fixation of supracondylar humerus fractures in children has small wound, is stable and reliable, easy to be operated, safe and effective and low cost. What's more, it can also avoid the complication caused by conservative treatment and operation. It is a good treatment of supracondylar humerus fractures in children.
