Treatment of radial neck fracture in children by ultrasonography-guided percutaneous leverage reduction
10.3760/cma.j.cn115530-20201112-00758
- VernacularTitle:超声引导下撬拨复位治疗儿童桡骨颈骨折的疗效分析
- Author:
Yunan LU
1
;
Jinchen CHEN
;
Yuling HUANG
;
Xinzhao ZHANG
;
Shunyou CHEN
Author Information
1. 厦门大学附属福州第二医院小儿骨科，福建医科大学教学医院，福建省创伤骨科急救与康复临床医学研究中心，福州市创伤医学中心，福州 350007
- Keywords:
Children;
Ultrasonography;
Fluoroscopy;
Radial neck fractures;
Leverage reduction
- From:
Chinese Journal of Orthopaedic Trauma
2021;23(8):727-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the ultrasonography-guided percutaneous leverage reduction in the treatment of pediatric radial neck fractures.Methods:From May 2016 to May 2018, 42 patients with Judet Ⅲ or Ⅳ radial neck fracture were treated at Department of Pediatric Orthopedics, The Second Hospital of Fuzhou. They were 15 boys and 27 girls, aged from 3 to 12 years. All of them were treated by percutaneous leverage reduction and Métaizeau technique. The operative procedures were guided by ultrasonography in 20 cases and by C-arm fluoroscopy in 22 cases. Postoperative evaluation was based on Métaizeau imaging criteria, Tibone and Stoltz functional criteria; complications such as radial nerve injury were recorded.Results:There were no statistically significant differences between the ultrasonography-guided group and the fluoroscopy-guided group in preoperative general data, showing comparability ( P>0.05). There were no significant differences between the 2 groups in terms of Métaizeau imaging, Tibone or Stoltz functional scores ( P>0.05). The frequency of fluoroscopy was (2.7±0.6) times for the ultrasonography group and (14.6±3.4) times for the fluoroscopy group while the operation time averaged (25.8±5.9) min for the former and (38.1±9.2) min for the latter, showing significant differences ( P<0.05). No postoperative complications were observed in the ultrasonography group while 4 cases of radial nerve injury in the fluoroscopy group, also showing significant difference between the 2 groups ( P< 0.05). Conclusion:Ultrasonography-guided percutaneous leverage reduction is a suitable surgical treatment of radial neck fracture in children, because it is simple, effective and safe.
