Gunaydın Burak, Turgut Ali, Sarı Abdulkadir, Dinçel Yaşar Mahsut, Tekin Cagatay, Kabukcuoglu Yavuz Selim
Orthopaedics and Traumatology Department, Tekirdag Namik Kemal University Medical Faculty, Namik Kemal District, Campus Street 1/14, Suleymanpasa, 59100 Tekirdag, Turkey.
Orthopaedics and Traumatology Department, Tepecik Training and Research Hospital, Izmir Health Sciences University, Guney District, 1140/1 Street No: 1 Yenisehir, Konak, Izmir, Turkey.
Indian J Orthop. 2020 May 31;55(1):93-99. doi: 10.1007/s43465-020-00152-0. eCollection 2021 Feb.
Supracondylar humerus fractures (SHFs) are frequently seen in the pediatric population. The aim of this study was to compare single- and double-fluoroscopy methods for the closed reduction and percutaneous pinning (CRPP) of Gartland type 2 and type 3 SHFs.
Forty patients who underwent surgery between March 2016 and April 2018 were evaluated retrospectively. Twenty-one patients (group 1) who received double fluoroscopy and 19 patients (group 2) who had single fluoroscopy were evaluated. The preparation period, surgical duration, radiation exposure time, fracture types, sex distributions, distribution of sides, radiologic results at the third month, cosmetic and functional results, and the incidence of complications were recorded.
The mean age of the patients in group 1 and group 2 was 4.76 and 4.68 years, respectively. The mean preparation time of group 1 was 11.3 min; whereas in group 2, it was 8.7 min ( < 0.01). The mean surgical duration was 31.76 min in group 1, and 40.47 min in group 2 ( < 0.01). The mean radiation exposure time in group 1 and group 2 was 41.19 and 47.36 s, respectively ( = 0.04). There were statistically significant differences between the two groups in terms of the preparation period, surgical duration, and radiation exposure time. Radiation exposure time and surgical duration were significantly shorter in group 1; the preparation period was shorter in group 2.
The double-fluoroscopy technique can significantly reduce surgical duration and radiation exposure time during surgery while treating SHFs of children.
肱骨髁上骨折（SHFs）在儿童群体中较为常见。本研究的目的是比较单荧光透视法和双荧光透视法在闭合复位及经皮穿针固定（CRPP）治疗Gartland 2型和3型SHFs中的应用。
回顾性评估2016年3月至2018年4月间接受手术的40例患者。评估接受双荧光透视的21例患者（第1组）和接受单荧光透视的19例患者（第2组）。记录准备时间、手术时长、辐射暴露时间、骨折类型、性别分布、患侧分布、术后第三个月的放射学结果、外观和功能结果以及并发症发生率。
第1组和第2组患者的平均年龄分别为4.76岁和4.68岁。第1组的平均准备时间为11.3分钟；而第2组为8.7分钟（<0.01）。第1组的平均手术时长为31.76分钟，第2组为40.47分钟（<0.01）。第1组和第2组的平均辐射暴露时间分别为41.19秒和47.36秒（=0.04）。两组在准备时间、手术时长和辐射暴露时间方面存在统计学显著差异。第1组的辐射暴露时间和手术时长明显更短；第2组的准备时间更短。
双荧光透视技术在治疗儿童SHFs时可显著缩短手术时长和术中辐射暴露时间。
