Comparison of intraoperative manual reduction and Kirschner wire prying reduction in the treatment of completely displaced supracondylar Gartland type Ⅲ fracture of humerus in children
- VernacularTitle:术中手法复位与克氏针撬拨复位治疗完全移位儿童肱骨髁上Gartland Ⅲ型骨折疗效对比
- Author:
Jin CHEN
1
;
Wei CHE
;
Qing-Hua ZHU
;
Qiang WANG
Author Information
- Keywords: Kirschner wire; fracture; supracondylar of humerus; prying reduction; manual reduction; clinical effect
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(11):1014-1017
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the effects of intraoperative manual reduction and Kirschner wire prying reduction in the treatment of completely displaced supracondylar Gartland type Ⅲ fracture of humerus in children.Methods Forty-four children with completely displaced supracondylar Gartland type Ⅲ fracture of humerus who came to our hospital from September 2021 to April 2022 were selected and randomly divided into the prying group and the manual group,with 22 cases in each group.The operation time,number of intraoperative fluoroscopy,fracture healing time,curative effect 6 months after operation and postoperative complications(infection,ulnar nerve injury,myositis ossificans,elbow inversion deformity)were compared between the two groups.Results All 44 children completed surgery,without incision cases.In the manual group,2 children were dissatisfied with manual reduction after repeated attempts and finally changed to Kirschner wire prying reduction,who were excluded in the follow-up study.The operation time was(39.59±5.59)minutes in the prying group,which was shorter than that of(57.50±9.28)minutes in the manual group;the number of intraoperative fluoroscopy was(7.73±1.98)in the prying group,which was less than that of(15.60±3.20)in the manual group,and the differences were statistically significant(P<0.05).Six months after operation,there was no significant difference in the excellent and good rate of curative effect between the two groups(P>0.05).All the fractures healed from 4 to 6 weeks after surgery.There was no significant difference in the healing time or incidence of postoperative complications between the two groups(P>0.05).Conclusion For completely displaced supracondylar Gartland type Ⅲ fracture of humerus in children,Kirschner wire prying reduction can shorten operation time and reduce intraoperative fluoroscopy,which is a safe,convenient,reliable reduction method with less traumas.
