Internal fixation with Kirschner wire manipulation and suture traction reduction for ulnoradial fractures / 中华创伤骨科杂志

ABSTRACT

Objective To study internal fixation with Kirschner wire manipulation and suture traction reduction for the treatment of ulnoradial fractures.Methods From January 2013 to December 2016,50 patients with ulnoradial fracture were treated at Orthopaedic Department,Yuyao Chinese Traditional Medicine Hospital.They were divided into 2 equal groups (n =25).In the control group,there were 13 men and 12 women,aged from 21 to 76 years (average,43.8 years);18 right and 7 left sides were involved;there were 14 cases of type A3 and 11 cases of type B3 according to the AO classification.In the observation group,there were 15 men and 10 women,aged from 20 to 78 years (average,44.7 years);19 right and 6 left sides were involved;there were 12 cases of type A3 and 13 cases of type B3 according to the AO classification.The control group was treated by traditional open reduction and internal fixation while the observation group by internal fixation with Kirschner wire manipulation and suture traction reduction.Fracture reduction was evaluated by the Matta criteria and functional recovery by the Berton criteria after surgery.Results The 2 groups were comparable because there were no significant differences in the general data between the 2 groups (P ＞ 0.05).Both groups were followed up for 12 to 24 months with an average of 15.5 months.Follow-ups revealed no neurological dysfunction,postoperative wound infection,improper position of internal fixation,or such complications as internal fixation loosening or breakage.All the fracture eventually healed.The excellent to good rate by the Matta criteria was 92.0％ in the control group and 96.0％ in the observation group;the excellent to good rate one year after surgery by the Berton criteria was 88.0％ in the control group and 92.0％ in the observation group.The differences were not statistically significant (P ＞ 0.05).Conclusion In the treatment of ulnoradial fractures,internal fixation with Kirschner wire manipulation and suture traction reduction is recommendable because its procedures are easy,need simple materials and can be carried out in a common operative theater.