دورية أكاديمية

Application of Kirschner wire placement guided technology in paediatric supracondylar humerus fractures.

التفاصيل البيبلوغرافية
العنوان: Application of Kirschner wire placement guided technology in paediatric supracondylar humerus fractures.
المؤلفون: Liu, Huan, Li, Lingzhi, Ding, Qirui, GE, Yunru, Ding, Ying, Wang, Shouguo, Fei, Haodong
المصدر: BMC Musculoskeletal Disorders; 1/12/2024, Vol. 25 Issue 1, p1-8, 8p
مصطلحات موضوعية: HUMERAL fractures, ULNAR nerve injuries, FLUOROSCOPY, ELBOW joint, FRACTURE healing, PEDIATRICS
مستخلص: Background: To analyze the clinical efficacy of K-wire placement guided technology in paediatric supracondylar humerus fractures. Methods: A retrospective study was conducted in 105 patients who underwent closed reduction and percutaneous pinning surgeries in our hospital from June 2019 to August 2022. 54 patients treated with a assisted reduction fixation device to assist in closed reduction and percutaneous K-wire cross-fixation were allocated into the Non-guided group, and 51 patients with K-wire placement guided technology to guide K-wire placement were assigned into the Guided group. The operation duration, number of disposable K-wire placement, intraoperative fluoroscopy frequency, Baumann angle, carrying angle, fracture healing time and Flynn score of elbow joint function at the final follow-up were compared between two groups. The postoperative complications of two groups were recorded. Results: There were significant differences between two groups in terms of operation duration, intraoperative fluoroscopy frequency, and disposable K-wire placement rate (p < 0. 05), while no significant differences of Baumann angle, carrying angle and the fracture healing time between two groups were observed (p > 0. 05). In the control group, ulnar nerve injury in 2 case, pin site infection in 4 cases, mild cubitus varus in 2 cases and loss of reduction in 4 cases were detected. In the study group, ulnar nerve injury in 1 case, pin site infection in 2 cases and loss of reduction in 1 case was observed. There was no significant difference in Flynn scores between two groups. Conclusion: K-wire placement guided technology is simple and convenient. The application of K-wire placement guided technology could relatively improved disposable K-wire placement rate, shorten the intraoperative fluoroscopy frequencies and reduce complication rates. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:14712474
DOI:10.1186/s12891-023-07160-9