Eagle Beak Needle Manipulation Rod Technology-Assisted Reduction Treatment for Children with Flexion Type Supracondylar Humeral Fractures
Objective:To observe the safety and clinical efficacy of closed reduction assisted by olecranon trocar technique com-bined with percutaneous Kirschner wire fixation in the treatment of children with flexion supracondylar fracture of humerus.Meth-ods:From January 2019 to December 2021,55 children with flexion supracondylar fracture of humerus were treated by closed re-duction assisted by olecranon trocar technique combined with percutaneous Kirschner wire internal fixation.There were 42 males and 13 females.There were 20 cases on the left side and 35 cases on the right side.The age ranged from 1 to 14 years old,with an average of 8 years old.The average treatment time after injury was 19 h(1 h to 9 d);according to the relevant data of inpatient medical records,the time of treatment after injury,the amount of bleeding during operation and the time of operation were recor-ded.The fracture healing,elbow joint function recovery and postoperative complications were observed after follow-up.Results:The average operation time was 60 min(40-120 min).The average intraoperative blood loss was 5 mL(1-15 mL).All patients were followed up for an average of 6.1 months(3-25 months).All fractures healed,with an average clinical healing time of 5.2 weeks(4-8 weeks).At the last follow-up after operation,according to the Flynn clinical function evaluation standard of elbow joint,52 cases were excellent and 3 cases were good.Needle tract reaction occurred in 3 cases after operation.Conclusion:The olec-ranon needle joystick assisted reduction technique has the advantages of short learning curve,reliable fixation,less intraoperative bleeding and less postoperative complications,which is conducive to the recovery of elbow joint function,easy to promote,safe and effective.
childrensupracondylar fracture of humerusflexion typeulnar olecranonjoystick
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