Short/middle-term clinical outcomes of ultrasound plus arthrography in the treatment of Salter Harris type Ⅲ epiphyseal fractures of distal radius in children
Objective To explore the short/middle-term clinical efficacies of ultrasound plus arthrography for closed reduction and internal fixation of percutaneous Kirschner wiring for Salter Harris type Ⅲ epiphyseal fractures of distal radius in children.Methods From April 2017 to April 2022,the relevant clinical data were retrospectively reviewed for 14 children with Salter Harris type Ⅲ epiphyseal fracture of distal radius undergoing ultrasound plus arthrography,closed reduction and internal fixation of percutaneous Kirschner wiring.There were 12 boys and 2 girls with an average age of 10.2(7-14)years.After ultrasound assisted fracture reduction,wrist arthrography was employed for observing the reduction of articular surface and verifying the outcomes of fracture reduction.Operative durations and intraoperative fluoroscopic frequency were recorded.Time of fracture healing and complications(infection & needle tail irritation)were recorded.At the last follow-up,wrist function was evaluated by modified Mayo score and imaging studies.Results The average follow-up period was 12.4(2-24)months,the average operative duration 20.6 min and the average number of intraoperative fluoroscopy 5.2.All fractures healed with an average healing period of 4.4 weeks.Two cases of needle tail irritation improved after removing Kirschner wire.All of them were anatomically reduced on radiography.At the last follow-up,average Mayo score of wrist joint was 92.6(80-100).The outcomes were excellent(n=10)and decent(n=4).Conclusion Ultrasound plus arthrography is both mini-invasive and efficacious for Salter Harris type Ⅲ epiphyseal fracture of distal radius in children after closed reduction and percutaneous Kirschner wiring.It is worthy of a wider popularization.
EpiphysesUltrasonographyArthrographyDistal fracture of radiusChild
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维普
