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Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus

BACKGROUND: This study describes the use of closed reduction percutaneous intramedullary fixation with Kirschner wires in 4 children with displaced metaphyseal-diaphyseal junction (MDJ) fractures of the distal humerus. MATERIAL/METHODS: Between August 2016 and August 2019, 4 patients (3 boys and 1 g...

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Autores principales: Wang, Rufa, Zheng, Pengfei, Wang, Yinming, Gao, Zhipeng, Xu, Mengqiu, Fan, Minjie, Wang, Yiwei, Leitch, Khristinn Kellie, Lin, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040530/
https://www.ncbi.nlm.nih.gov/pubmed/35450978
http://dx.doi.org/10.12659/MSM.935448
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author Wang, Rufa
Zheng, Pengfei
Wang, Yinming
Gao, Zhipeng
Xu, Mengqiu
Fan, Minjie
Wang, Yiwei
Leitch, Khristinn Kellie
Lin, Gang
author_facet Wang, Rufa
Zheng, Pengfei
Wang, Yinming
Gao, Zhipeng
Xu, Mengqiu
Fan, Minjie
Wang, Yiwei
Leitch, Khristinn Kellie
Lin, Gang
author_sort Wang, Rufa
collection PubMed
description BACKGROUND: This study describes the use of closed reduction percutaneous intramedullary fixation with Kirschner wires in 4 children with displaced metaphyseal-diaphyseal junction (MDJ) fractures of the distal humerus. MATERIAL/METHODS: Between August 2016 and August 2019, 4 patients (3 boys and 1 girl), whose mean age was 4 years 5 months (range: 3 years 6 months to 5 years 4 months), with displaced MDJ fractures of the distal humerus were treated using closed reduction percutaneous intramedullary fixation with Kirschner wires. Three of the fractures were oblique and 1 was transverse. The operation time and the frequency of intraoperative fluoroscopy were recorded. All children were followed up for greater than 18 months, taking anteroposterior and lateral radiographs of the elbow joint to evaluate the outcomes. At the last follow-up, the Flynn elbow joint function score was used to evaluate clinical outcomes, and complications were recorded. RESULTS: The mean operation time was 37.5 min (range: 35–40 min) and the frequency of intraoperative fluoroscopy was 11.7 times (range: 8–15 times). All of the fractures were confirmed to be healed based on radiographic results at 4 weeks after surgery. At the last follow-up, 4 children had normal elbow joint motion without elbow deformity. The Flynn score showed their outcomes were excellent. CONCLUSIONS: Closed reduction percutaneous intramedullary fixation using Kirschner wires was an effective treatment for displaced MDJ fractures of the distal humerus in the 4 children described and was shown to be easy to perform with a short operation time.
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spelling pubmed-90405302022-05-16 Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus Wang, Rufa Zheng, Pengfei Wang, Yinming Gao, Zhipeng Xu, Mengqiu Fan, Minjie Wang, Yiwei Leitch, Khristinn Kellie Lin, Gang Med Sci Monit Clinical Research BACKGROUND: This study describes the use of closed reduction percutaneous intramedullary fixation with Kirschner wires in 4 children with displaced metaphyseal-diaphyseal junction (MDJ) fractures of the distal humerus. MATERIAL/METHODS: Between August 2016 and August 2019, 4 patients (3 boys and 1 girl), whose mean age was 4 years 5 months (range: 3 years 6 months to 5 years 4 months), with displaced MDJ fractures of the distal humerus were treated using closed reduction percutaneous intramedullary fixation with Kirschner wires. Three of the fractures were oblique and 1 was transverse. The operation time and the frequency of intraoperative fluoroscopy were recorded. All children were followed up for greater than 18 months, taking anteroposterior and lateral radiographs of the elbow joint to evaluate the outcomes. At the last follow-up, the Flynn elbow joint function score was used to evaluate clinical outcomes, and complications were recorded. RESULTS: The mean operation time was 37.5 min (range: 35–40 min) and the frequency of intraoperative fluoroscopy was 11.7 times (range: 8–15 times). All of the fractures were confirmed to be healed based on radiographic results at 4 weeks after surgery. At the last follow-up, 4 children had normal elbow joint motion without elbow deformity. The Flynn score showed their outcomes were excellent. CONCLUSIONS: Closed reduction percutaneous intramedullary fixation using Kirschner wires was an effective treatment for displaced MDJ fractures of the distal humerus in the 4 children described and was shown to be easy to perform with a short operation time. International Scientific Literature, Inc. 2022-04-22 /pmc/articles/PMC9040530/ /pubmed/35450978 http://dx.doi.org/10.12659/MSM.935448 Text en © Med Sci Monit, 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Wang, Rufa
Zheng, Pengfei
Wang, Yinming
Gao, Zhipeng
Xu, Mengqiu
Fan, Minjie
Wang, Yiwei
Leitch, Khristinn Kellie
Lin, Gang
Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title_full Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title_fullStr Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title_full_unstemmed Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title_short Closed Reduction Percutaneous Intramedullary Fixation with Kirschner Wires in 4 Children with Displaced Fractures of the Distal Humerus
title_sort closed reduction percutaneous intramedullary fixation with kirschner wires in 4 children with displaced fractures of the distal humerus
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040530/
https://www.ncbi.nlm.nih.gov/pubmed/35450978
http://dx.doi.org/10.12659/MSM.935448
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