Comparison of pry reduction and limited open reduction in the treatment of refractory forearm fracture in children
Objective To compare the efficacy of controlled prying reduction and limited open reduction in the treatment of refractory forearm fracture in children.Methods A total of 68 eligible children with refractory forearm fracture in our hospital from March 2018 to December 2022 were included,among them 38 were treated with limited open reduction elastic intramedullary nail-internal fixation(limited open reduction group),and 30 were treated with Kirkner pin pry reduction elastic intramedullary nail-internal fixation(pry reduction group).Postoperative follow-up was conducted for 6-15 months.The operative time,intraoperative blood loss,incision length at the fracture site,incision length at the needle entry point,fracture healing time and so on were compared between the groups.After the elastic intramedullary nail removal 6 months after surgery,functions of the affected limb and forearm rotation were evaluated by Anderson function evaluation criteria.Results The wounds of both groups healed in one stage,and no complications such as fracture nonunion and wound infection occurred.The amount of surgical bleeding,the length of incision at the fracture site and the healing time of fracture in the prying reduction group were all less than those in the limited incision group,with statistical significance(P<0.05).There was no significant difference in operation time,incision length,forearm rotation function and efficacy 6 months after operation between the two groups(P>0.05).Conclusions For children with refractory forearm fracture,functions of the affected limb are recovered after prying reduction and limited open reduction.Prying reduction causes less trauma with good appearance of affected limb and patient satisfaction,which is worthy of further promotion.
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