Intraoperative arthrography monitoring assisted closed reduction and internal fixation for intercondylar fracture of humerus in children.
10.12200/j.issn.1003-0034.2021.09.013
- Author:
Wei GONG
1
;
Jian-Si WANG
1
;
Bing-Zuan LI
1
;
Xiu-Ying CAI
1
;
Qiang JIE
1
;
Zhi-Ping LIAN
1
Author Information
1. Department of Pediatric Orthopaedics, Quanzhou Orthopaedic Traumatological Hospital, Quanzhou 362000, Fujian China.
- Publication Type:Journal Article
- Keywords:
Arthrography;
Child;
Elbow joint;
Fracture fixation, internal;
Humeral fractures
- MeSH:
Arthrography;
Child;
Child, Preschool;
Female;
Fracture Fixation, Internal;
Humans;
Humeral Fractures/surgery*;
Humerus;
Male;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(9):856-860
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate clinical effects of intraoperative arthrography monitoring assisted closed reduction and internal fixation for intercondylar fracture of humerus in children.
METHODS:From January 2013 to July 2018, 18 children with intercondylar fracture of humerus were treated by operation, including 13 males and 5 females aged from 3 to 12 years old with an average age of (8.50±2.57) years old. According to Toniolo & Wilkinson classification, 8 children were typeⅠand 10 children were typeⅡ. During the operation, closed reduction and internal fixation were performed under the monitoring of intraoperative radiography, open reduction and internal fixation were performed in necessity. Mayo score of elbow joint was used to evaluate clinical effect at 6 months after operation.
RESULTS:All children were underwent arthrography monitoring during operation, 5 children were treated with closed reduction and internal fixation for intraoperative arthrography found no fracture of articular cartilage, 11 children by closed reduction and internal fixation because of fracture of articular cartilage involving the joint space with displacement less than 2 mm, and 2 children by closed or open reduction and internal fixation for fracture of articular cartilage surface with displacement above 2 mm, which 1 child with smooth of joint surface was performed closed reduction and internal fixation, 1 child without smooth of joint surface and displacement above 2 mm was performed open reduction and internal fixation. All children were followed up from 8 to 26 months with an average of (20.28±4.40) months. All factures were healed from 6 to 9 weeks with an average of (7.33±0.77) weeks. Postoperative Mayo score of elbowjoint at 6 months was (89.44±11.36), and 12 patients got excellent results, 5 good and 1 poor. One patient occurred partial limitation of flexion or extension of elbow joint. No elbow deformity and other complications occurred.
CONCLUSION:The treatment of intercondylar fracture of humerus in children under monitoring of intraoperative radiography could reduce opertaion injuries and complications, confirm the reduction effect of articular surface of cartilage in time and clearly, and promote recovery of elbow joint function.
