Comparison of clinical effect of Kirschner wires and screws in treating humeral medial eplcondyle fractures in children and adolescents

ZHU Danjiang; WANG Qiang; SUN Baosheng; SONG Baojian; FENG Wei; LIU Dingwu

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Medical Journal of the Chinese People Armed Police Forces ›› 2020, Vol. 31 ›› Issue (10) : 870-873.

Comparison of clinical effect of Kirschner wires and screws in treating humeral medial eplcondyle fractures in children and adolescents

ZHU Danjiang, WANG Qiang, SUN Baosheng, SONG Baojian, FENG Wei, LIU Dingwu

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Abstract

Objective To compare the clinical effect of Kirsclner wire internal fixation and screw internal fixation in the treatment of humeral medial epicondyle fractures in children and adolescents.Methods The clinical data on 31 cases of children with humeral medial epicondyle fractures admitted to our hospital between January 2013 and January 2018 was retrospectively analyzed. According to surgical approaches, they were divided into two groups: the Kirschner group (open reduction plus Kirschner internal fixation, n=17) and the screw group (open reduction plus screw internal fixation, n=14).The clinical manifestations, healing time of fractures, functional appearance recovery and complications were analyzed and compared between the two groups.Results All the 31 cases were followed up for an average of 16 months. There was significant difference between the two groups in the time the internal fixation was removed [(45.7±10.6)d vs(36.5±8.3)d] and the rate of recovery of elbow joints[((32.7±7.4)d,vs(39.5±6.8)d] (P<0.05).There was no significant difference between the two groups in the healing time of fractures and results of evaluation of elbow joints during the last follow-up.Conclusions It is recommended that children with humeral medial epicondylar fractures that are displaced more than 5 mm be treated surgically. The use of smooth K-wires for younger children and screw fixation for adolescents near skeletal maturity might lead to favorable clinical and radiological outcomes during follow-up, with low morbidity and radiographic deformity.

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Kirschner wire / screw / humeral medial epicondyle fracture in children and adolescents

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ZHU Danjiang, WANG Qiang, SUN Baosheng, SONG Baojian, FENG Wei, LIU Dingwu. Comparison of clinical effect of Kirschner wires and screws in treating humeral medial eplcondyle fractures in children and adolescents[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(10): 870-873

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