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[Proximal humeral fractures in children choose different surgical methods]
1Department of Pediatric Surgery, Central Municipal Hospital, Nanyang 473009, China;
Insights
Open reduction and external fixation offer advantages for pediatric proximal humeral fractures, showing better surgical outcomes than Kirschner wire fixation. Both methods provide comparable healing times and complication rates.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Proximal humeral fractures are common in children.
- Treatment options include Kirschner wire fixation and external fixation.
- Evaluating therapeutic effects is crucial for optimal outcomes.
Purpose of the Study:
- To compare the therapeutic effects of open reduction with Kirschner wire fixation versus open reduction with external fixation for pediatric proximal humeral fractures.
Main Methods:
- A retrospective study of 62 pediatric patients with proximal humeral fractures.
- Patients were divided into two groups: Kirschner wire fixation (40 cases) and external fixation (22 cases).
- Clinical effects, including operative time, blood loss, incision length, and Neer score, were compared.
Main Results:
- The external fixation group demonstrated significantly shorter operative times, less blood loss, and smaller incision lengths compared to the Kirschner wire group (P < 0.05).
- Postoperative Neer scores were comparable between the groups, with no significant differences in hospitalization time, fracture healing time, or complication rates.
- External fixation showed statistically significant advantages in surgical parameters.
Conclusions:
- Open reduction and external fixation present advantages for treating pediatric proximal humeral fractures.
- Benefits include simpler operation, minimal metaphyseal damage, and reliable fixation for early functional exercises.
- External fixation leads to good functional recovery of the upper extremity.
Objective:
To observe the therapeutic effect of open reduction Kirschner wire fixation and open reduction external fixation in the treatment of the proximal humeral fractures in children.
Methods:
Sixty two patients with proximal humeral fractures had received Kirschner wire fixation and external fixation in our hospital from Oct. 2010 to Aug. 2013 were collected. The Kirschner wire fixation group was 40 cases and the external fixation group 22 cases. Comparison the clinical effects of two groups.
Results:
Two groups operation time were (40.3 ± 7.2, 62.3 ± 6.7) min, operation amount of bleeding were (28.9 ± 14.5, 71.7 ± 17.5) ml, incision length were (32.4 ± 11.3, 63.3 ± 13.2) cm and postoperative Neer score were (96.8 ± 9.8, 92.3 ± 8.5) respectively. The external fixation group was better than Kirschner wire fixation group in above indexes and the difference was statistical significance (P < 0.05), while it showed no significant difference in hospitalization time, fracture healing time and postoperative complications (P > 0.05).
Conclusions:
For the treatment of children with proximal humeral fractures, the open reduction and external fixation have some advantages, such as simple operation, small metaphyseal damage, fixed reliable for early functional exercises and good results for upper extremity functional recovery.
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