Comparison on the Effects of Internal Fixation with Percutaneous Kirschner Wire and Flexible Intramedullary Nail After Reduction by Leverage in Children with Radial Neck Fracture
Objective To compare the clinical effects of internal fixation with percutaneous Kirschner wire and flexible intramedullary nail after reduction by leverage in the treatment of children with radial neck fracture.Methods 130 children with radial neck fracture who underwent reduction by leverage and internal fixation were divided into the Kirschner wire group and the flexible intramedullary nail group according to different internal fixation methods.The perioperative indicators,complications and elbow joint function were compared between the two groups.Results The operation time,intraoperative blood loss amount and hospitalization time of the Kirschner wire group were significantly lower than those of the flexible intramedullary nail group(P<0.05).No significant difference was found in the incidence of complications between the two groups(P>0.05).At 1 month and 3 months after surgery,the MEPS scores of the Kirschner wire group were significantly higher than those of the flexible intramedullary nail group(P<0.05);No significant difference was found in the MEPS score at 6 months after surgery between the two groups(P>0.05).Conclusions Both percutaneous Kirschner wire and flexible intramedullary nail internal fixation after reduction by leverage in the treatment of children with radial neck fracture have good application effect,but percutaneous Kirschner wire can reduce surgical trauma and is conducive to the early recovery of elbow joint function of children.
Kirschner wireFlexible intramedullary nailReduction by leverageRadial neck fractureElbow joint function
国家科技期刊平台
NSTL
万方数据
维普
