Advance Search
YI Shende, CAI Jun, ZOU Yun. Effect of closed reduction and elastic intramedullary nailing fixation versus reduction and fixation by Kirschner wire prying in treating radial neck fracture in children[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 77-80. DOI: 10.7619/jcmp.20200783
Citation: YI Shende, CAI Jun, ZOU Yun. Effect of closed reduction and elastic intramedullary nailing fixation versus reduction and fixation by Kirschner wire prying in treating radial neck fracture in children[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 77-80. DOI: 10.7619/jcmp.20200783
shu

Effect of closed reduction and elastic intramedullary nailing fixation versus reduction and fixation by Kirschner wire prying in treating radial neck fracture in children

  • 1.

    The Second Department of Surgery, Jiangxi Children's Hospital, Nanchang, Jiangxi, 330006

  • 2.

    The Third Department of Surgery, Jiangxi Children's Hospital, Nanchang, Jiangxi, 330006

More Information
  • Received Date: September 09, 2020
  • Available Online: March 14, 2021
  • Published Date: February 27, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To compare clinical effects of closed reduction and elastic intramedullary nailing fixation versus reduction and fixation by Kirschner wire prying in treating radial neck fracture in children.
      Methods  The clinical data of 82 children with radial neck fracture was retrospectively analyzed. According to different surgical methods, they were divided into Kirschner wire group (n=40) and intramedullary nail group (n=42). Perioperative indicators and postoperative recovery conditions of elbow joint function were compared between the two groups.
      Results  There were no significant differences in the amount of bleeding, length of hospital stay, and fracture healing time between the two groups (P>0.05). The operative time of the intramedullary nail group was (33.69±4.45) min, which was longer than (29.36±4.56) min in the Kirschner wire group (P<0.05). There were no significant differences between the two groups in the excellent and good rate of postoperative fracture healing, Mayo elbow function score, range of flexion, extension, pronation and postrotation activities (P>0.05).
      Conclusion  Both closed reduction and elastic intramedullary nailing fixation as well as reduction and fixation by Kirschner wire prying can improve postoperative elbow joint function in children with radial neck fracture, but the latter has shorter operative time.
    • FullText(HTML)
    • References (26)
  • [1]
    朱峰, 李珍, 宋相建. 经皮撬拨复位弹性髓内钉固定治疗儿童桡骨颈骨折[J]. 临床骨科杂志, 2019, 22(1): 74-76. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGK201901033.htm
    [2]
    庞宝云, 孟红伟. 小儿桡骨颈骨折应用闭合复位弹性髓内钉固定的疗效观察分析[J]. 河北医学, 2019, 24(22): 236-239. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201910033.htm
    [3]
    杜香平, 余丽蓉, 熊志刚, 等. 克氏针经皮撬拨复位联合Métaizeau法治疗儿童Judet Ⅳ型桡骨颈骨折[J]. 中华手外科杂志, 2018, 34(1): 10-12. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZG201602009.htm
    [4]
    练志平, 王建嗣, 叶萍萍, 等. 肘关节造影指引下微创治疗儿童桡骨颈骨折32例[J]. 中国中医骨伤科杂志, 2020, 28(8): 84-88. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG202008021.htm
    [5]
    杨晨曦, 王华松, 王庆伟, 等. 切开复位克氏针内固定治疗儿童肱骨内上髁骨折的疗效分析[J]. 华南国防医学杂志, 2018, 32(8): 541-544. https://www.cnki.com.cn/Article/CJFDTOTAL-HNGY201808009.htm
    [6]
    王林, 陈梦婕, 王一臣, 等. 经皮撬拨辅助弹性髓内钉治疗小儿桡骨颈骨折的疗效研究[J]. 实用骨科杂志, 2019, 25(9): 830-832. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201909017.htm
    [7]
    肖亮, 孙志波, 禹志宏, 等. 闭合复位弹性髓内针固定联合经皮克氏针撬拨治疗儿童桡骨头骨折[J]. 局解手术学杂志, 2018, 27(8): 562-565. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ201808006.htm
    [8]
    李志强. 经皮克氏针撬拨复位弹性髓内钉固定治疗桡骨颈骨折患儿疗效观察及术后近、中期随访研究[J]. 医学理论与实践, 2018, 31(20): 3072-3073. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201820039.htm
    [9]
    李相伟, 孙志波, 禹志宏, 等. 经皮撬拨辅助闭合复位加克氏针内固定治疗儿童移位型肱骨外科颈骨折的疗效[J]. 骨科临床与研究杂志, 2019, 4(5): 299-304. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201905009.htm
    [10]
    孙亮, 刘万林, 韦宜山, 等. 半无菌技术在闭合复位经皮克氏针内固定治疗儿童肱骨髁上骨折中的应用[J]. 中华小儿外科杂志, 2019, 40(6): 536-539. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-GZKX201008003121.htm
    [11]
    刘玉昌, 王宣, 苏云山, 等. 股骨骨折复位器闭合复位弹性髓内钉内固定术在儿童股骨转子下骨折治疗中的应用[J]. 中华解剖与临床杂志, 2020, 25(6): 673-677.
    [12]
    石伟, 唐盛平, 黄子龙, 等. 闭合复位弹性髓内钉内固定治疗儿童长骨干骨折的效果分析[J]. 中国医学创新, 2019, 16(17): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX201917042.htm
    [13]
    杨大兴, 单延具, 张琰, 等. 弹性髓内钉与克氏针固定治疗儿童桡骨颈骨折的临床对比[J]. 实用骨科杂志, 2019, 25(11): 961-964. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201911001.htm
    [14]
    于铁强, 左玉明, 王月光, 等. 弹性髓内钉内固定治疗重度移位儿童桡骨颈骨折[J]. 中国骨与关节损伤杂志, 2018, 33(7): 764-765. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201807037.htm
    [15]
    朱伟玮, 叶文松, 张百慧, 等. 单根弹性髓内钉内固定治疗儿童新鲜孟氏骨折疗效观察[J]. 浙江医学, 2019, 41(9): 937-939, 946. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201909025.htm
    [16]
    查显斌. 弹性髓内钉内固定与钢板内固定治疗儿童四肢长骨骨折的疗效比较[J]. 实用临床医药杂志, 2018, 22(21): 89-91. doi: 10.7619/jcmp.201821027
    [17]
    向杰, 范伟杰, 尹科, 等. 弹性髓内钉与外固定架固定治疗儿童下肢长骨干骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2018, 33(10): 1092-1094. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201810032.htm
    [18]
    杨德育, 苏在权, 黄东海, 等. 髋锁定加压钢板与弹性髓内钉内固定治疗儿童股骨粗隆下骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2018, 33(8): 794-797. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201808004.htm
    [19]
    屈继宁, 马益善, 李敏, 等. 弹性髓内钉与接骨板内固定治疗儿童股骨转子下骨折的临床对照研究[J]. 骨科, 2019, 10(5): 440-445. https://www.cnki.com.cn/Article/CJFDTOTAL-HYXZ201905014.htm
    [20]
    郭美振, 宿玉玺. 弹性髓内钉与外固定支架治疗儿童股骨骨折的临床研究[J]. 第三军医大学学报, 2019, 41(20): 2006-2011. https://www.cnki.com.cn/Article/CJFDTOTAL-DSDX201920014.htm
    [21]
    黄勇斌, 莫贤跃, 姜权, 等. 克氏针撬拨复位、弹性髓内针内固定治疗儿童Judet Ⅲ、Ⅳ型桡骨颈骨折[J]. 临床骨科杂志, 2019, 22(1): 70-73. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGK201901031.htm
    [22]
    王邦, 孙祥水. 弹性髓内钉治疗儿童四肢长骨骨折后并发症的研究进展[J]. 中华创伤杂志, 2019, 35(3): 282-288.
    [23]
    郭海滨, 路真. 弹性髓内钉治疗儿童前臂骨折的疗效观察[J]. 中国矫形外科杂志, 2019, 27(24): 2286-2288. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201924020.htm
    [24]
    曹轶伦, 吕振邦, 刘傥, 等. 钛制弹性髓内钉内固定治疗儿童尺桡骨双骨折[J]. 中国骨与关节损伤杂志, 2019, 34(3): 319-320. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201903040.htm
    [25]
    黄永波, 张妍. 三种方法治疗儿童桡骨颈骨折临床疗效分析[J]. 中国药物与临床, 2019, 19(9): 1458-1460. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201909032.htm
    [26]
    冯伟, 王强, 宋宝健, 等. 经皮撬剥复位弹性髓内针固定治疗儿童桡骨颈骨折的疗效[J]. 武警医学, 2018, 29(5): 464-467. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-ZGZP201309003085.htm
    • Related Articles

  • Related Articles

    [1]XIANG Mingfei, LIU Yingying, YU Mingjie. Correlations of serum calcium, 25-hydroxyvitamin D and uric acid levels with benign paroxysmal positional vertigo[J]. Journal of Clinical Medicine in Practice, 2024, 28(19): 118-122. DOI: 10.7619/jcmp.20241444
    [2]ZHANG Chenchen, LIU Yanling. Values of the Acute Physiology and Chronic Health Evaluation Ⅱ score combined with serum glycated hemoglobin and lactate dehydrogenase in evaluating the severity and prognosis of patients with acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 62-67. DOI: 10.7619/jcmp.20240043
    [3]HAO Yuqing, SUN Yu, WANG Qiaogai. Changes of serum homocysteine, lactate dehydrogenase and interleukin-17 levels in acute leukemia and their significance[J]. Journal of Clinical Medicine in Practice, 2024, 28(15): 115-119. DOI: 10.7619/jcmp.20241033
    [4]WAN Jiangwei, CHENG Dongru, WANG Tao, GAO Ping. Value of serum lactate dehydrogenase, β2 microglobulin and ferritin combined with modified WHO-based Prognostic Scoring System in predicting poor prognosis of myelodysplastic syndrome[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 79-84. DOI: 10.7619/jcmp.20233107
    [5]LEI Xiaoming, XUE Mengzhou, XIA Bin, LI Jing, GUO Pingping. Correlations of serum 25-hydroxyvitamin D and adiponectin with cognitive function in patients with white matter lesions[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 33-37. DOI: 10.7619/jcmp.20221686
    [6]LU Zhenhui, GUO Xiaoming, LI Xinling, CAO Zhiyong, ZHU Lianha, ZHU Xiangyang. Effect of serum 25-hydroxyvitamin D3 level on cognitive function after stroke in elderly patients with first-episode cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2021, 25(17): 61-66. DOI: 10.7619/jcmp.20211950
    [7]DU Kaixian, HU Huihui, LI Lin, DONG Yan, GUAN Jing, SONG Chunlan, BAI Yanmin, KONG Lina, JIA Tianming. Value of fibronectin, vascular endothelial growth factor and lactate dehydrogenas levels in cerebrospinal fluid in diagnosing bacterial meningitis and viral encephalitis in children[J]. Journal of Clinical Medicine in Practice, 2021, 25(11): 26-30. DOI: 10.7619/jcmp.20210272
    [8]ZHANG Cuijun, SHI Li, SHENG Yulu. Investigation on serum 25-hydroxy-vitamin D levels in 4 013 pregnant women in middle or late stages[J]. Journal of Clinical Medicine in Practice, 2020, 24(22): 120-123. DOI: 10.7619/jcmp.202022035
    [9]LIU Xiaoxia, GONG Nini. Changes of serum 25-hydroxyvitamin D in patients with hypertension during pregnancy and its clinical significance[J]. Journal of Clinical Medicine in Practice, 2020, 24(9): 66-68. DOI: 10.7619/jcmp.202009019
    [10]XU Daxing, LI Sen, LI Yanjie, CHEN Linlin, WU Hao. Changes and significance of lactate dehydrogenase, adenosine deaminase and tumor necrosis factor-α in cerebrospinal fluid of patients with viral meningitis[J]. Journal of Clinical Medicine in Practice, 2016, (24): 26-28. DOI: 10.7619/jcmp.201624007

  • Cited by

    Periodical cited type(11)

    1. 朱丹，刘采连. 肝郁气滞型持续性姿势-感知性头晕患者运用柴胡疏肝散的疗效研究. 中外医学研究. 2025(06): 107-110 .
    2. 郭甜甜，彭壮，付晓芳. 逍遥解郁方联合前庭康复训练治疗持续性姿势-知觉性头晕临床观察. 实用中医药杂志. 2024(01): 39-41 .
    3. 张俊红，王丽，郑银燕，张佰景，张俊梅. 低频经颅磁刺激联合前庭康复训练治疗持续性姿势-感知性头晕的疗效观察. 中华物理医学与康复杂志. 2024(04): 317-321 .
    4. 史林娟，赵蕾，孙文青，宋红娜. 前庭康复训练联合艾司西酞普兰片治疗持续性姿势知觉性头晕的疗效. 慢性病学杂志. 2024(10): 1504-1506+1510 .
    5. 徐金凤，魏辰鸿，汪毅明，杨建波，魏建刚，张倩，林晓静，张小宁. 前庭康复训练法治疗中重度持续性姿势-感知性头晕的临床疗效分析. 中国临床神经科学. 2023(01): 43-48 .
    6. 贾云朋，王彩娟，纪朋曼，曹俊英，孟曙龙，田丹丹，赵扬，杨静棉. 灯银脑通胶囊治疗持续性姿势感知性头晕的作用机制研究. 世界中西医结合杂志. 2023(06): 1242-1245+1256 .
    7. 时钦，江炜炜，唐睩，刘红星，李峰，张丽. 草酸艾司西酞普兰配合视觉脱敏训练治疗老年持续性姿势-知觉性头晕的效果. 医学研究与战创伤救治. 2023(11): 1182-1187 .
    8. 马小琦. 持续性姿势知觉性头晕患者睡眠障碍与认知功能障碍相关性研究. 中国实用医药. 2022(04): 73-75 .
    9. 李锋森，孟毅，乔明亮，成家宏. 前庭康复训练联合药物疗法治疗持续性姿势-知觉性头晕的Meta分析. 神经损伤与功能重建. 2022(05): 264-268+306 .
    10. 张芳，俞晔，罗春香，杨敏，黄志英. 前庭康复训练应用于持续性姿势-知觉性头晕患者的临床研究. 中国医学创新. 2022(20): 150-153 .
    11. 钟伟森，张运如. 中医定向透药联合耳穴压豆治疗老年眩晕病的临床观察. 中医外治杂志. 2022(02): 19-21 .

    Other cited types(5)

Catalog

    Get Citation
    PDF
    XML
    Article views (366) PDF downloads (9) Cited by(16)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return