Comparison effect of open reduction and closed reduction with percutaneous Kirschner wire internal fixation for the treatment of humeral supracondylar fractures in children
Comparison effect of open reduction and closed reduction with percutaneous Kirschner wire internal fixation for the treatment of humeral supracondylar fractures in children
Objective To compare the efficacy of open reduction and closed reduction with percutaneous Kirschner wire internal fixation in the treatment of humeral supracondylar fractures in children.Methods The 58 children with humeral supracondylar fractures were randomly divided into a control group(29 cases were treated with open reduc-tion and percutaneous Kirschner wire internal fixation)and an observation group(29 cases were treated with closed reduction and percutaneous Kirschner wire internal fixation).The incision length,intraoperative bleeding volume,sur-gical time,callus formation time,fracture healing time,recovery of elbow joint function and incidence of complications were compared between the two groups.Results All patients were followed up for 6～12 months.The incision length,intraoperative bleeding volume and surgical time in the observation group were shorter(less)than those in the control group,and the differences were all statistically significant(P<0.01).There were no statistically significant differences between the two groups in terms of callus formation time,fracture healing time,and postoperative complica-tion incidence rate(P>0.05).At the last follow-up,there was no statistical difference in the excellent-good rate of el-bow joint function recovery evaluated with Flynn scores between the two groups(P>0.05).Conclusions The clini-cal effects are both satisfactory for open reduction and closed reduction with percutaneous Kirschner wire internal fixa-tion for treatment of humeral supracondylar fracture in children,but closed reduction has the advantages of shorter sur-gical incision,less intraoperative bleeding volume and shorter operation time.
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