Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures
Abstract Flexion-type pediatric humeral supracondylar fractures are rare, and the reduction technique remains contradictory. A minimally invasive technique using percutaneous leverage reduction combined with an external fixator was described to achieve satisfactory reduction and avoid the open reduc...
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| Format: | Article |
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Nature Portfolio
2023-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-48158-6 |
| _version_ | 1797388389135155200 |
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| author | ChengMing Zhu QiYuan Feng ZiXuan Ou HaoBo Zhong Xin Tang |
| author_facet | ChengMing Zhu QiYuan Feng ZiXuan Ou HaoBo Zhong Xin Tang |
| author_sort | ChengMing Zhu |
| collection | DOAJ |
| description | Abstract Flexion-type pediatric humeral supracondylar fractures are rare, and the reduction technique remains contradictory. A minimally invasive technique using percutaneous leverage reduction combined with an external fixator was described to achieve satisfactory reduction and avoid the open reduction in this study. The operation and clinical results of patients treated with this technique were retrospectively compared with traditional closed reduction. From January 2013 to January 2018, children diagnosed with displaced flexion-type humeral supracondylar fractures were included in this study. Patients were treated with closed reduction (Group A) or minimally invasive reduction technique (Group B). The external fixator fixation was then applied. The demographic information, as well as the clinical and functional results of the operation, were retrospectively reviewed and evaluated. There were twenty-two patients, ten in Group A and twelve in Group B. The mean duration of the operation in Group A was more prolonged than Group B (59 min versus 46 min, p < 0.001). No infection, nonunion, myositis ossificans, neurovascular injury or other complications related to the operation were observed by the time the fractures healed. During an average 36 months follow-up time, almost all children achieved good to excellent results except for one fair in Group A according to the MEPS and the Flynn criteria. This study introduced a safe and efficient minimally invasive technique for displaced flexion-type supracondylar humerus fractures. With the assistance of mosquito forceps, this leverage technique might achieve similar satisfactory clinical outcomes as traditional closed reduction but with a shorter surgical duration. |
| first_indexed | 2024-03-08T22:40:06Z |
| format | Article |
| id | doaj.art-1d86d80f88f04281b82ed56d66fef11e |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T22:40:06Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-1d86d80f88f04281b82ed56d66fef11e2023-12-17T12:12:35ZengNature PortfolioScientific Reports2045-23222023-12-011311610.1038/s41598-023-48158-6Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fracturesChengMing Zhu0QiYuan Feng1ZiXuan Ou2HaoBo Zhong3Xin Tang4Department of Orthopaedic, Liuzhou Workers Hospital/the Fourth Affiliated Hospital of Guangxi Medical UniversityTongji Medical College, Huazhong University of Science and TechnologyUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopaedics, Huizhou First HospitalUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Flexion-type pediatric humeral supracondylar fractures are rare, and the reduction technique remains contradictory. A minimally invasive technique using percutaneous leverage reduction combined with an external fixator was described to achieve satisfactory reduction and avoid the open reduction in this study. The operation and clinical results of patients treated with this technique were retrospectively compared with traditional closed reduction. From January 2013 to January 2018, children diagnosed with displaced flexion-type humeral supracondylar fractures were included in this study. Patients were treated with closed reduction (Group A) or minimally invasive reduction technique (Group B). The external fixator fixation was then applied. The demographic information, as well as the clinical and functional results of the operation, were retrospectively reviewed and evaluated. There were twenty-two patients, ten in Group A and twelve in Group B. The mean duration of the operation in Group A was more prolonged than Group B (59 min versus 46 min, p < 0.001). No infection, nonunion, myositis ossificans, neurovascular injury or other complications related to the operation were observed by the time the fractures healed. During an average 36 months follow-up time, almost all children achieved good to excellent results except for one fair in Group A according to the MEPS and the Flynn criteria. This study introduced a safe and efficient minimally invasive technique for displaced flexion-type supracondylar humerus fractures. With the assistance of mosquito forceps, this leverage technique might achieve similar satisfactory clinical outcomes as traditional closed reduction but with a shorter surgical duration.https://doi.org/10.1038/s41598-023-48158-6 |
| spellingShingle | ChengMing Zhu QiYuan Feng ZiXuan Ou HaoBo Zhong Xin Tang Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures Scientific Reports |
| title | Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures |
| title_full | Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures |
| title_fullStr | Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures |
| title_full_unstemmed | Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures |
| title_short | Minimally invasive technique combined with external fixator in the treatment of pediatric flexion-type humeral supracondylar fractures |
| title_sort | minimally invasive technique combined with external fixator in the treatment of pediatric flexion type humeral supracondylar fractures |
| url | https://doi.org/10.1038/s41598-023-48158-6 |
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