[Closed reduction and radial parallel Kirschner wire internal fixation for the treatment of Gartland Ⅲ supracondylar fracture of humerus in children].

OBJECTIVE

To investigate clinical effect of closed reduction and radial parallel Kirschner wire internal fixation in treating Gartland Ⅲ supracondylar fracture of humerus in children.

METHODS

From May 2015 to October 2019, 72 children with Gartland Ⅲ supracondylar fracture of humerus were treated by closed reduction and radial parallel Kirschner wire internal fixation, including 52 males and 20 females, aged from 3 to 10 years old with an average of (5.4±1.3) years old;39 patients classified to Gartland ⅢA and 33 patients classified to Gartland Ⅲ B. Operation time, fracture healing time, and functional exercise time were observed, Flynn elbow joint function score was used to evaluate clinical effects.

RESULTS

All patients were followed up from 2 to 6 months with an average of (3.5±1.4) months. Operation time was 2590 (37.8±10.4) min, fracture healing time was 2845(38.8±9.4) days, functional exercise time was 22~60(36.9±11.2) days. No cubitus varus, iatrogenic neurovascular injury, reduction loss, compartment syndrome, infection or other complications occurred. According to Flynn elbow joint function score, 60 patients got excellent results, 10 good and 2 fair.

CONCLUSION

Closed reduction and radial parallel Kirschner wire internal fixation in treating Gartland Ⅲ supracondylar fracture of humerus in children has advantages of minimally invasive, stable fixation, shorter operation time, easy to remove internal fixation, and less complications.