Treatment of 25 Cases of Lower 1/4 Fractures of the Radius and Ulna in Children Using the Technique of Reverse Folding,Traction and Closure,and External Fixation with Plastic Splints
Objective:To evaluate the clinical efficacy of the reverse folding traction closure technique in the treatment of 1/4 fractures of the ulna and radius in children with plastic splint external fixation.Methods:A total of 25 children with 1/4 fractures of the ulna and radius from September 2020 to September 2023 were selected.The patients were treated with the technique of reverse folding,traction and top closure,and external fixation with plastic splints.Three follow-up visits were conducted 1 month,2 months,and 3 months after treatment.Based on the follow-up results,the alignment of the fracture end and the recovery of the affected limb's function were observed.The Gartland-Werley scoring system was used to evaluate the wrist joint function.Results:25 children with 1/4 fractures of the radius and ulna all met the clinical bone healing criteria,and the wrist joint function was normal.According to the Gartland-Werley scoring system,21 cases were excellent,4 cases were good,and the excellent and good rate was 100％.Conclusion:The use of reverse folding traction and top closure technique for plastic splint external fixation in the treatment of children with 1/4 fractures of the ulna and radi-us has advantages such as minimal soft tissue damage,minimal trauma,and good functional recovery.It can achieve satis-factory therapeutic effects and is worthy of clinical promotion and application.
reverse folding and pulling technique for reconstructionulnar and radial fractureschildrenplastic splints
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