Li Xin, Liu Hong, Xiao Sheng, Fang Ke, Wen Jie
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China.
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China;
Zhongguo Gu Shang. 2017 Jan 25;30(1):60-63. doi: 10.3969/j.issn.1003-0034.2017.01.014.
To investigate the clinical outcomes of limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type III humerus supracondylar fracture in children.
From May 2006 to October 2014, 132 patients with irreducible Gartland type III humerus supracondylar fracture were treated with reduction and percutaneous K-wire internal fixation. The reduction was performed with the guiding of surgeon's finger, and the lateral approach with periosteum torn was chosen according to the shift direction of the distal fractures. Among them, there were 82 males and 50 females with an average age of 5.8 years old(ranged from 2 to 14 years old).
All the patients were followed up, the duration ranged from 6 to 36 months, with an average of 13.7 months. Ninety-five patients got an excellent result, 27 good, 8 fair, and 2 poor.
Limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type III humerus supracondylar fracture in children has many advantages: simple manipulate, not affected by the elbow swelling, and satisfactory curative effect. It is worth popularizing in clinic.
探讨有限切开复位经皮克氏针内固定治疗儿童难复性GartlandⅢ型肱骨髁上骨折的临床疗效。
2006年5月至2014年10月，对132例难复性GartlandⅢ型肱骨髁上骨折患儿采用切开复位经皮克氏针内固定治疗。复位在术者手指引导下进行，根据远折端移位方向选择切开骨膜的外侧入路。其中男82例，女50例，平均年龄5.8岁（2～14岁）。
所有患者均获随访，随访时间6～36个月，平均13.7个月。优95例，良27例，可8例，差2例。
有限切开复位经皮克氏针内固定治疗儿童难复性GartlandⅢ型肱骨髁上骨折具有操作简单、不受肘部肿胀影响、疗效满意等优点，值得临床推广。
