The Study Of Modified Closed Reduction For Gartland â…¢ Supracondylar Fracture Humerus In Pediatric Patients

ObjectiveThis study is to investigate the clinical results and the complication rates of modified closed reduction for Gartland Ⅲ supracondylar fracture humerus in pediatric patients, to further evaluate its effectivity and superiority. Its aims to inprove the treatment effects, reduce the operation time and complication rates for Gartland III supracondylar fracture humerus in pediatric patients.MethodsA retrospective study was adopted, and admitted the information of the pediatric patients who were diagnosed with Gartland Ⅲ supracondylar fracture humerus, accepted closed reducion and fixation with two cross K-wire from Jan.2009 to Feb.2015 of the Tianjin Hospital and the Guangdong Traditional Medical Hospital. The patients are divided into two groups depending on what the method of closed reduction use in the process of operation. The possible correlative factors included the pediatric patients’sex, age, operation time, motion range of elbow, motion range change of elbow, carring angle, loss of carring angle after the operation, deformity of cubitus varus and Flynn scoring standards. SPSS 17.0 was used to analyze the collected data. The x2-Test or the Fisher’s exact probability was performed on the enumeration data. If the measurement data accorded with normal distribution, the independent Samples t-Test would be used, if the measurement data not accorded with normal distribution, the Wilcoxon -Test would be used. The Wilcoxon-Test was performed on the ranked data. And with the standard that the study is statistical significant in the case of P<0.05.ResultsIn this study,48 patients were treated with closed reducion and fixation with two cross K-wire.23 pediatric patients accepted modified closed reducion and fixation with two cross K-wire, including 6 females and 17 males, with an average age of 6.26±2.82. While the other 25 pediatric pantients accepted classic closed reducion and fixation with two cross K-wire, inclding 5 females and 20 males, with an average age of 6.76±2.76. Observation group and control group had no statistical difference in pediatric patients’sex, age, motion range of elbow, motion range change of elbow and Flynn scoring standards(P >0.05). But there had statistical difference in pediatric patients’operation time, earring angle and loss of earring angle (P<0.05). The observation group not only take less operaion time, also was superior to control group for correcting the earring angel.ConclusionThis study show us that choose modified closed reducion and fixation with two cross K-wire treat Gartland III supracondylar fracture humerus in pediatric patients can get a good clinical results. Compare with classic closed reduction, modified closed reducion making the operation easier, taking less operation time. It is able to make fast to restore the anatomical structure and correct the earring angle, avoiding deformity of cubitus varus after the operation.