Comparative study on effectiveness of ultrasound- and arthrography-assisted Kirschner wire fixation in treatment of Jakob type Ⅱ lateral condylar humerus fractures in children.
10.7507/1002-1892.202305017
- Author:
Xiwei SUN
1
;
Hailong MA
1
;
Fang LIU
1
;
Zhiye GUAN
1
;
Sicheng ZHANG
1
;
Jun SUN
1
Author Information
1. Department of Orthopedics, Anhui Provincial Children's Hospital, Hefei Anhui, 230061, P. R. China.
- Publication Type:Journal Article
- Keywords:
Lateral condylar humerus fracture;
arthrography;
child;
internal fixation;
ultrasound
- MeSH:
Child;
Humans;
Arthrography;
Bone Wires;
Humeral Fractures/surgery*;
Humerus;
Retrospective Studies;
Male;
Female
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(8):952-957
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the effectiveness of ultrasound- and arthrography-assisted Kirschner wire fixation in the treatment of Jakob type Ⅱ lateral condylar humerus fracture (LCHF) in children.
METHODS:A clinical data of 101 children with Jakob type Ⅱ LCHF, who met the selection criteria and were admitted between April 2021 and April 2022, was retrospectively analyzed. Of them, 47 cases were treated with ultrasound-assisted Kirschner wire fixation (group A), and 54 cases with arthrography-assisted surgery (group B). There was no significant difference in gender, age, cause of injury, fracture side, and disease duration between groups (P>0.05). Intraoperative fluoroscopy times, operation time, and hospital stay, Flynn elbow joint function score, and postoperative complications were recorded and compared between groups. X-ray examination was performed to observe the healing of fracture, and measure the carrying angle and the shaft-condylar angle (SCA).
RESULTS:The success rate of closed reduction was significantly higher in group A than in group B (P<0.05), and the intraoperative fluoroscopy times was significantly less in group A than in group B (P<0.05). There was no significant difference in operation time and hospital stay between groups (P>0.05). All children in both groups were followed up 12-18 months, with an average of 13.6 months. X-ray reexamination showed that the fractures of both groups healed, and the difference in healing time was not significant (P>0.05). At last follow-up, there was no significant difference in carrying angle and SCA between unaffected side and affected side in both groups and between groups A and B in affected side (P>0.05). There was no significant difference in Flynn elbow joint function score between groups (P>0.05). There were 18 cases of lateral spurs formation in group A, 1 case of pinning infection and 26 cases of lateral spurs formation in group B, and there was no significant difference in the incidence of the above complications (P>0.05).
CONCLUSION:Compared with the arthrography, the ultrasound-assisted Kirschner wire fixation in the treatment of Jakob type Ⅱ LCHF in children can avoid the open reduction and decrease the number of intraoperative fluoroscopy, and obtain the good effectiveness.
