Li Jin, Ma Jiewen, Guo Xikai, Yue Changjie, Chen Kailei, Wang Jing, Tang Xin
Department of Orthopaedic Surgery.
Department of Radiology, Union Hospital.
Medicine (Baltimore). 2020 Mar;99(13):e19666. doi: 10.1097/MD.0000000000019666.
Supracondylar femoral fractures are uncommon in children, but may result in various deformities. Though many approaches have been used to manage them, there is no literally approved standard yet.From 2015 to 2017, 12 young children at the average age of 2.5 years old (range 3.6-1.6) with displaced supracondylar fractures were admitted to our department and received closed reduction with crossed Kirschner wire (K-wire) fixation as treatment. After the surgeries, we performed follow-up to every patient at the average length of 26 months (range 24-30) and used the Knee Society Score scale to evaluate the outcome.Fracture healing was observed within 10 weeks for all patients and walking was resumed between 10 to 13 weeks. No patient reported a valgus deformity more than 10°, neurovascular injury or knee infection. The average limb length discrepancy was 0.4 cm at the end of our follow-up. Every patient had perfect score on the Knee Society Score scale.Our study suggests that closed reduction with percutaneous crossed Kirschner wire is a favorable method for displaced supracondylar femoral fractures in young children.
儿童股骨髁上骨折并不常见，但可能导致各种畸形。尽管已经采用了多种方法来处理这些骨折，但目前尚无真正被认可的标准。2015年至2017年，我科收治了12例平均年龄为2.5岁（范围1.6 - 3.6岁）的移位性股骨髁上骨折幼儿，并采用交叉克氏针闭合复位固定进行治疗。术后，我们对每位患者进行了平均时长为26个月（范围24 - 30个月）的随访，并使用膝关节协会评分量表评估治疗结果。所有患者均在10周内观察到骨折愈合，10至13周之间恢复行走。没有患者报告外翻畸形超过10°、神经血管损伤或膝关节感染。随访结束时，肢体平均长度差异为0.4厘米。每位患者在膝关节协会评分量表上均获得满分。我们的研究表明，经皮交叉克氏针闭合复位是治疗幼儿移位性股骨髁上骨折的一种良好方法。
