Efficacy of minimally invasive small-incision-assisted reduction with percutaneous Kirschner wire fixation in pediatric supracondylar humerus fractures.

OBJECTIVES

To retrospectively evaluate whether minimally invasive small-incision-assisted reduction with percutaneous Kirschner wire fixation (MIAR-PKWF) provides superior clinical outcomes compared to conventional closed reduction with Kirschner wire fixation (CR-KWF) in pediatric supracondylar humerus fractures (SCHFs), focusing on surgical outcomes, postoperative recovery, and elbow joint function.

METHODS

A total of 100 pediatric SCHF cases were included and divided into either an observation group (MIAR-PKWF, n=55) or a control group (standard CR-KWF, n=45) based on their treatment approach. Outcome measures included operative time, recovery indicators, radiographic and serological parameters, elbow joint function, elbow range of motion, complications, and post-reduction swelling.

RESULTS

In comparison with the control group, the observation group exhibited significantly improved surgical outcomes, accelerated rehabilitation, and better elbow joint function and mobility, radiographic indices, and serological markers. Additionally, the observation group experienced fewer complications and milder post-reduction swelling.

CONCLUSION

MIAR-PKWF is more effective in optimizing surgical outcomes, expediting postoperative rehabilitation, and improving elbow function in pediatric SCHF patients.