Qiang Huang1, Fei Su1, Zhi Meng Wang1, Han Zhong Xue1, Liang Sun1, Teng Ma1, Qian Wang1, Yao Lu1, Ming Li1, Cheng Ren1, Cong Ming Zhang1, Kun Zhang2, Zhong Li3. 1. Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. 2. Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. gukezhangk@163.com. 3. Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. lizhong0607@126.com.
Abstract
BACKGROUND: There are disputes about which reduction technique should be adopted in treatment of distal radius-ulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children. METHODS: One hundred ten children with irreducible distal radius-ulna fractures were selected from January 2015 to December 2017 in Xi'an Hong Hui hospital. Retrospective analysis was performed. According to different reduction techniques, these children were divided into PRMF group (59 cases) and LOR group (51 cases). All children were treated with percutaneous Kirschner wire fixation and external fixation with plaster. Operation indexes, complications and wrist joint functions were compared between the two groups. RESULTS: Operation time of PRMF group was shorter than that of LOR group (P < 0.05). Incision length in PRMF group was less than that in LOR group (P < 0.05). Bleeding volume of PRMF group was less than that of LOR group (P < 0.05). Incidence of complications in PRMF group was lower than that in LOR group. CONCLUSIONS: Compared with limited open reduction, it has better clinical effects of prying reduction with mosquito forceps in treatment of irreducible distal radius-ulna fractures in older children. This technique has the advantages of simple operation, less trauma, less bleeding and fewer complications, which is worthy of clinical promotion.
BACKGROUND: There are disputes about which reduction technique should be adopted in treatment of distal radius-ulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children. METHODS: One hundred ten children with irreducible distal radius-ulna fractures were selected from January 2015 to December 2017 in Xi'an Hong Hui hospital. Retrospective analysis was performed. According to different reduction techniques, these children were divided into PRMF group (59 cases) and LOR group (51 cases). All children were treated with percutaneous Kirschner wire fixation and external fixation with plaster. Operation indexes, complications and wrist joint functions were compared between the two groups. RESULTS: Operation time of PRMF group was shorter than that of LOR group (P < 0.05). Incision length in PRMF group was less than that in LOR group (P < 0.05). Bleeding volume of PRMF group was less than that of LOR group (P < 0.05). Incidence of complications in PRMF group was lower than that in LOR group. CONCLUSIONS: Compared with limited open reduction, it has better clinical effects of prying reduction with mosquito forceps in treatment of irreducible distal radius-ulna fractures in older children. This technique has the advantages of simple operation, less trauma, less bleeding and fewer complications, which is worthy of clinical promotion.
Authors: Per-Henrik Randsborg; Pål Gulbrandsen; Jūratė Saltytė Benth; Einar Andreas Sivertsen; Ola-Lars Hammer; Hendrik F S Fuglesang; Asbjørn Arøen Journal: J Bone Joint Surg Am Date: 2013-04-03 Impact factor: 5.284