Kirschner Wire Fixation in Management of Humeral Supracondylar Fracture in Children / 医学研究杂志

ABSTRACT

Objective To analyze the clinical therapeutic effect of close reduction and perculaneous Kirschner wire fixation in treating humeral supracondylar fracture in children.Methods We retrospectively analyzed 28 children who had humeral supracondylar fracture treater in our department from January 2006 to December 2008.They were 2 to 13 years old (mena age7 years and 5 months). According to Garland typing ,3 children had type I fracture ,11 type II and 14 type III. Closed reduction was performed guided by C-arm X-ray machine. Then the fracture was perculaneously fixed with 2 or 3 Kirschner wires of 1.5mm,and the elbow and wrist joints were fixed in the functional position with upper limb plaster.Results All patients were followed up for average 4~12months. All patients obtained bone union. No Volkmann contracture os iatrogenic nerve injury occurred. Conclusion Close reduction and percutaneous Kirschner wires fixation for humeral supracondylar fracture in children has the advantages of small injury and stable bone fixation.In addition,it can prevent Volkmann contracture and achieve good elbow joint function recovery.