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Guo Yue-min - One of the best experts on this subject based on the ideXlab platform.
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Comparison between Kirschner fixation and splint fixation after reduction in the treatment of Humeral Supracondylar Fracture
China Journal of Orthopaedics and Traumatology, 2006Co-Authors: Guo Yue-minAbstract:Objective:To study therapeutic effects of selective manipulation and operation in the treatment of Humeral Supracondylar Fracture.Methods:Two hundred and forty patients were divided into splint group(Group A)and Kirschner group(Group B).One hundred and twenty patients in Group A included 85 male and 35 female,ranging in age from 4 to 7 years,with an average of 5.6 years;the average time from injury to treatment was 8.0 h.In Group A 65 patients were Gartland Ⅱtype and 55 patients were Gartland Ⅲ type.All above patients were treated with manipulative reduction and splint fixation.Among 120 patients in Group B,80 patients were male and 40 patients were female,ranging in age from 3.6 to 8.0 years,with an average of 5.4 years;the average time from injury to treatment was 7.0 h.In Group B 65 patients were Gartland Ⅱ type and 55 patients were Gartland Ⅲ type;all the patients in Group B were treated with manipulative reduction and percutaneous Kirschner fixation.The therapeutic effects of the two groups were compared.Results:All the patients were followed up from 1 to 6 years,with an average of 4 years and 6 months.According to Dodgt evaluation criterion,the results in Group A were excellent in 95 patients,good in 13 and bad in 12,the rate of excellent and good therapeutic results was 90.0%.In Group B 97 patients were excellent,13 good and 10 bad.The rate of excellent and good was 91.6%.The excellent and good rates achieved in the patients with Gartland Ⅱ type Fracture in Group A and Group B were 86.2%(56/65)and 90.8%(59/65)respectively,and the rates in those with Gartland Ⅲ type Fracture in above two groups were 94.5%(52/55)and 92.7%(51/55)respectively.In Group A,cubitus varus occurred in 3 patients(2 patients were Gartland Ⅱ type and 1 patient was Gartland Ⅲ type)with incidence rate of 2.5%,and limitation of motion occurred in 14 patients(10 patients were Gartland Ⅱ type and 4 patients were Gartland Ⅲ type)with incidence rate of 11.7%.In Group B,the above two complications occurred in 10(7 patients were Gartland Ⅱ type and 3 patients were Gartland Ⅲ type)and 0 patient,and the two incidence rate were 8.3%and zero respectively.Conclusion:Manipulative treatment has superiority in preventing from cubitus varus,while operative treatment is good in keeping the moving function of elbow joint.For treatment of Gartland Ⅱ Fracture,percutaneous Kirschner fixation method should be adopted.There is no significatnt difference between splint fixation and Kirschner fixation in the treatment of Gartland Ⅲ Fracture.
Xiaoliang Cheng - One of the best experts on this subject based on the ideXlab platform.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
Mingxing Peng - One of the best experts on this subject based on the ideXlab platform.
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Lateral closing wedge osteotomy for treatment of traumatic cubitus varus deformity in children
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2012Co-Authors: Jian Yang, Mingxing Peng, Shao-feng Liu, Min LiuAbstract:OBJECTIVE To investigate the effectiveness of lateral closing wedge osteotomy for treatment of traumatic cubitus varus deformity in children. METHODS Between July 1996 and June 2010, 20 cases of traumatic cubitus varus deformity after Humeral Supracondylar Fracture were treated by lateral closing wedge osteotomy. There were 13 boys and 7 girls, aged from 7 to 14 years (mean, 10.6 years). The left elbow was involved in 12 cases and right elbow in 8 cases. Thirteen cases had received closed reduction, percutaneous Kirschner wire fixation, and external fixation in other hospital, and 7 cases misdiagnosed as elbow luxation and soft tissue injury had given external fixation. Cubitus varus deformity occurred at 2-12 years after injury. Preoperatively, the elbow range of motion (ROM) in flexion and extension was 100-150 degrees (mean, 133.0 degrees) and 0-24 degrees (mean, 11.7 degrees), respectively. The angle of cubitus varus deformity was 20-50 degrees (mean, 32.1 degrees). RESULTS All incisions healed by first intention, and no related complication occurred. A total of 17 patients were followed up 1-14 years (mean, 5 years). X-ray films revealed that bone union was achieved in all cases within 5-8 weeks after operation (mean, 6 weeks). The deformity of cubitus varus was corrected in all cases. At last follow-up, the elbow ROM in flexion and extension was 110-150 degrees (mean, 135.9 degrees) and 0-27 degrees (mean, 12.9 degrees), respectively. According to Jupiter et al. elbow score system, the results were excellent in 14 cases, good in 2 cases, and fair in 1 case; the excellent and good rate was 94.1%. One patient underwent recurrence at 1 month after removal of the Kirschner wire, and lateral closing wedge osteotomy was performed again after 1 year. CONCLUSION Lateral closing wedge osteotomy is a safe and effective surgical procedure in correcting traumatic cubitus varus deformity in children, which is easy to operate and can be effective in reducing the complications.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
Xin Jiang - One of the best experts on this subject based on the ideXlab platform.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
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operative treatment of gartland type iii Humeral Supracondylar Fractures in children with minimally invasive incision and percutaneous pinning
Chinese Journal of Reparative and Reconstructive Surgery, 2010Co-Authors: Xin Jiang, Xueyang Tang, Daoxi Wang, Mingxing Peng, Xiaoliang ChengAbstract:OBJECTIVE: To investigate the operative procedure and the therapeutic effects of minimally invasive incision and percutaneous pinning in operative treatment of Gartland type III Humeral Supracondylar Fracture in children. METHODS: From September 2002 to July 2009, 189 patients with Gartland type III Humeral Supracondylar Fracture were treated with minimally invasive incision and percutaneous pinning. There were 137 males and 52 females, aged from 1 to 13 years (6.2 years on average). Injury was caused by sports in 173 cases, by traffic accident in 9 cases, by falling from height in 5 cases, and by earthquake in 2 cases. All Fractures were closed Fractures, complicating others Fracture in 11 cases, radial nerve injury in 36 cases, median nerve injury in 5 cases, ulnar nerve injury in 2 cases, and brachial artery injury in 2 cases. The time from injury to hospitalization was 1 hour to 10 days. Neurovascular repair was performed at the same period. RESULTS: All incisions healed by first intention, no related complications occurred. A total of 143 patients were followed up 5 months to 5 years (12 months on average). X-ray films showed Fracture healed within 2-4 months (2.5 months on average). Cubitus varus occurred in 6 cases, but the functions of elbow flexion and extension were good; 2 cases were given distal Humeral wedge osteotomy and 4 cases continued keeping the functional training. According to the Flynn et al criteria, the results were excellent in 121 cases, good in 15 cases, and fair in 7 cases; the excellent and good rate was 95.1%. Only a small incision scar was found, the function returned to normal in the cases complicated by nerve and blood vessel injury. CONCLUSION: Minimally invasive incision and percutaneous pinning for operative treatment of Gartland type III Humeral Supracondylar Fracture in children is a safe and effective surgical procedure, which has minimal trauma, short surgery time, quick recovery, simple operation, and can be effective in reducing the complications.
Li Guo-xiang - One of the best experts on this subject based on the ideXlab platform.
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Closed Reduction and Percutaneous K-wire Fixation for Humeral Supracondylar Fracture in Children
Chinese Journal of Modern Operative Surgery, 2009Co-Authors: Li Guo-xiangAbstract:Objective To assess the clinical effect of closed reduction and percutaneous Kirschner wire fixation in the treatment of Humeral Supracondylar Fracture in children. Method 18 children of Humeral Supracondylar Fracture with type Ⅲ of Gartland classification were conducted closed reduction and percutaneous Kirschner wire fixation. Results All cases were followed up for 3 to 12 months(mean,6 months).All Fractures were obtained healing in 6 to 12 weeks(mean,8.8 weeks) postoperatively.According to Flynn functional assessment,the outcome showed 13 cases of excellence,2 of good,and 3 of fair;the fineness rate was 83.3%. Conclusion Closed reduction and percutaneous K-wire fixation is a safe,simple and effective method for Humeral Supracondylar Fracture in children with advantages as mini-trauma and reliable fixation.