Emergency, Trauma Center, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road of Qiao'xi District, Shijiazhuang, 050000, Hebei, China.
Monitoring and Evaluation Office, Health Guidance Center of Hebei Provincial Health Commission, Shijiazhuang, China.
J Orthop Surg Res. 2021 Aug 12;16(1):493. doi: 10.1186/s13018-021-02625-w.
The aims of current study were to present the clinical outcomes in patients with pediatric tibia shaft fractures who were treated with unilateral external fixation combined with joystick for fracture reduction and describe the details of our technique.
We retrospectively analyzed the patients with pediatric tibia shaft fractures who were treated with unilateral external fixation combined with joystick for fracture reduction between July 2018 and March 2020. The clinical outcomes were evaluated.
A total of 23 patients were included in the current study with the average age of 8.0 years (ranged 4-14 years). The average duration of hospital and follow-up were 5.9 days (ranged 4-8 days) and 17.4 months (ranged 8-27 months), respectively. At postoperative 3 days, the visual analog scale (VAS) score was 3.1 ± 1.43, which was significantly lower than the preoperative score of 7.3 ± 1.5. Of these, 2 cases showed redness and swelling of pin-tract and exudation at postoperative 1 month, who improved after oral antibiotics without causing fixation failure. The average time to full weight-bearing without crutches was 5.1 weeks (ranged 3-8 weeks). All patients achieved fracture healing and good functional recovery. No complications including fixation failure, reoperation, epiphyseal injury occurred, infection around implants, vessel damage, nerve damage, and limitation of joint movement were observed. The Johner-Wruh scores showed that 21 cases (91.3%) were "excellent" and 2 cases (8.7%) were "good."
This procedure had advantages of simple operation, minimum trauma, early recovery of lower limb function, and no risk of complications. It may provide a new choice for children with tibia shaft fractures who require surgical treatment.
本研究旨在介绍采用单侧外固定架结合操纵杆进行骨折复位治疗儿童胫骨骨干骨折患者的临床结果，并详细描述我们的技术。
我们回顾性分析了 2018 年 7 月至 2020 年 3 月期间采用单侧外固定架结合操纵杆进行骨折复位治疗的儿童胫骨骨干骨折患者。评估了临床结果。
本研究共纳入 23 例患者，平均年龄为 8.0 岁（4-14 岁）。平均住院和随访时间分别为 5.9 天（4-8 天）和 17.4 个月（8-27 个月）。术后 3 天，视觉模拟评分（VAS）为 3.1±1.43，明显低于术前的 7.3±1.5。其中 2 例术后 1 个月出现针道红肿、渗出，经口服抗生素治疗后好转，未导致固定失败。完全负重无拐杖时间平均为 5.1 周（3-8 周）。所有患者均骨折愈合，功能恢复良好。未发生固定失败、再次手术、骨骺损伤、植入物周围感染、血管损伤、神经损伤和关节活动受限等并发症。Johner-Wruh 评分显示，21 例（91.3%）为“优”，2 例（8.7%）为“良”。
该术式操作简单，创伤小，下肢功能恢复早，并发症风险低，可为需要手术治疗的儿童胫骨骨干骨折患者提供新的选择。
