Clinical effects of single Kirschner wire assisted reduction in children with Gartland type Ⅲ supracondylar humerus fractures.
10.12200/j.issn.1003-0034.20231264
- Author:
Yong HE
1
;
Wei-Ping LI
1
;
Zhi-Long CHEN
1
;
Guo-Peng JIANG
1
;
Shi-Hai CHEN
1
;
Jun ZHAO
1
;
Hua-Ming WANG
1
;
Chen ZHANG
1
Author Information
1. Department of Pediatric Orthopaedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Closed reduction;
Gartland Ⅲ type;
Kirschner wire assisted;
Supracondylar humerus fractures
- MeSH:
Humans;
Male;
Female;
Child;
Bone Wires;
Child, Preschool;
Humeral Fractures/physiopathology*;
Retrospective Studies;
Fracture Fixation, Internal/instrumentation*;
Treatment Outcome;
Fracture Healing
- From:
China Journal of Orthopaedics and Traumatology
2025;38(10):1071-1075
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical efficacy and safety of single Kirschner wire assisted poking and closed reduction in the treatment of Gartland type Ⅲ supracondylar humeral fractures in children.
METHODS:A retrospective analysis was performed on patients diagnosed with Gravland type Ⅲ supracondylar humeral fractures between January 2022 and June 2023. A total of 46 patients were treated with closed reduction assisted by Kirschner wires and percutaneous Kirschner wire internal fixation.There were 25 males and 21 females. The age ranged from 5 to 10 years old, with an average of (5.8±1.8) years old. The left side was involved in 28 patients and the right side in 18 patients. Record the operative duration for patients, the number of fluoroscopic exposures, fracture healing time, postoperative carrying angle, Baumann angle, elbow joint function score at three months post-operation, and any associated complications.
RESULTS:All 46 patients were followed up for a period of 12 to 16 weeks, with an average of (13.74±1.44 )weeks. The operation duration was (30.7±5.1) minutes, the fluoroscopy count was (10.2±2.7) times, the postoperative carrying angle of the elbow joint was (8.7±2.2) degrees, and the Baumann angle was (71.5±2.9) degrees. All fractures achieved successful union in all patients, with a mean healing time of (25.5±1.7) days.At the final follow-up, elbow joint function was assessed using the Flynn criteria, with 43 patients rated as excellent and 3 patients rated as good. No complications were observed, including cubitus varus, nerve injury, or local infection.
CONCLUSION:The use of a single Kirschner wire assisted prying reduction for treating Gartland type Ⅲ supracondylar humeral fractures in children demonstrates excellent clinical efficacy and safety.
