Treatment of Supracondylar Fractures of the Humerus in Children Through Anterior Transverse Incision
of the Elbow

Abstract

Abstract:

Objective: To observe the clinical effect of open reduction and internal fixation through anterior transverse approach in
the treatment of supracondylar fractures of the humerus in children. Methods: 45 children with supracondylar fractures of the humerus
who were difficult to be cured by closed reduction were randomly divided into observation group（23 cases）and control group（22
cases）. The observation group was treated with open reduction and internal fixation through anterior transverse elbow incision, while
the control group was treated with open reduction and internal fixation through lateral elbow incision. The operation time and fracture
healing time were compared between the two groups. Flynn elbow function score was used to evaluate elbow function 3 months after
operation, HSS function score was used to evaluate clinical efficacy, and comparisons were made between groups. Results: Compared
with the control group, the healing time of fracture in the observation group was similar（P > 0.05）, but the operation time was shorter
（P < 0.05）, and the elbow function recovery was similar after 3 months（P > 0.05）, but the clinical curative effect was better（P <
0.05）. Conclusion: Compared with lateral approach of elbow joint, anterior transverse incision of elbow can shorten the operation time
and improve the clinical effects. It can be the first choice of open reduction and Kirschner wire internal fixation for the treatment of
supracondylar fractures of the humerus in children.

Key words: supracondylar fractures of the humerus, open reduction and internal fixation, anterior elbow approach, operation time, elbow joint function

CLC Number:

R726

LI Lun, KANG Xiao-Feng, CHEN Hao, XU Chao-Chao. Treatment of Supracondylar Fractures of the Humerus in Children Through Anterior Transverse Incision
of the Elbow[J]. , 2019, 4(8): 23-26.

References

〔1〕潘少川. 实用小儿骨科学〔M〕. 3版. 北京：人民卫生出版
社，2016：339-345.
〔2〕王相如，衣英豪，曹克奎，等. 闭合复位、经皮交叉克氏针
固定术治疗小儿肱骨髁上骨折临床观察〔J〕. 山东医药，
2015，55（11）：84-85.
〔3〕王卫东. 经皮交叉克氏针固定治疗移位型儿童肱骨髁上
骨折效果观察〔J〕. 山东医药，2017，57（38）：87-89.
〔4〕张长宇. 外侧小切口辅助复位对儿童肱骨髁上骨折患儿
肘关节功能的影响〔J〕. 山西医药杂志，2018，47（16）：
1929-1931.
〔5〕罗冬冬，张智勇，张晓明，等. 经肱三头肌肌腱克氏针撬
拨复位治疗儿童难复性Gartland Ⅱ型及Ⅲ型肱骨髁上
骨折〔J〕. 中华创伤骨科杂志，2018，20（1）：22-26.
〔6〕陈琦翔，黄解元，钟泽林. 肘内侧有限切开克氏针内固定
治疗Gartland Ⅲ型儿童肱骨髁上骨折〔J〕. 实用手外科
杂志，2018，32（1）：61-63.
〔7〕FLYNN J C，MATTHEWS J G，BENOIT R I. Blind Pinning
of Displaced Supracondylar Fractures of the Humerus in
Children：Sixteen Years' Experience with Long-Term Fol?
low-Up〔J〕. J Bone Joint Surg，1974，56（2）：263-272.
〔8〕SWENSON A L. The treatment of supracondylar fractures
of the humerus by Kirschner-wire transfixion〔J〕. J Bone
Joint Surg Am，1948，30A（4）：993-997.
〔9〕刘岩，张中礼，杨文斌，等. 旋前屈肘手法复位联合闭合
穿针治疗儿童Gartland Ⅲ型尺偏型肱骨髁上骨折效果
观察〔J〕. 山东医药，2016，56（24）：70-72.
〔10〕PIERZ K A. Fractures in Children and Adolescents：Distal
Humerus Supracondylar Fractures〔J〕. Techniques in Or?
thopaedics，2009，24（3）：172-183.
〔11〕徐会法，黄鲁豫，雷伟，等. 肱骨髁上骨折患儿的外侧小
切口切开复位治疗〔J〕. 中国骨与关节杂志，2017，6
（7）：492-495. 〔12〕朱诚，刘杰，李少华. 儿童Gartland Ⅲ型肱骨髁上骨折
不同入路ORPP治疗的比较研究〔J〕. 同济大学学报（医
学版），2017，38（5）：79-83.
〔13〕何亚鹏. 不同手术入路治疗小儿肱骨髁上骨折的临床
比较〔J〕. 心理医生，2018，24（5）：115.
〔14〕LEE S S，MAHAR A T，MIESEN D，et al. Displaced Pedi?
atric Supracondylar Humerus Fractures：Biomechanical
Analysis of Percutaneous Pinning Techniques〔J〕. J Pedi?
atr Orthop，2002，22（4）：440-443.
〔15〕谢友. 肱骨髁上骨折闭合复位失败的相关因素分
析〔J〕. 中国保健营养，2017，27（7）：356-357.
〔16〕南国新，刘国栋，覃佳强，等. 前路横切口治疗儿童
Gartland Ⅲ型肱骨髁上骨折〔J〕. 中华创伤杂志，2012，
28（2）：120-124. 〔17〕袁斌，葛保健. 三种克氏针固定方式治疗严重Gartland Ⅲ
型儿童肱骨髁上骨折的疗效比较〔J〕. 中华手外科杂志，
2017，33（6）：455-457.
〔18〕HUSSAIN S，AHMAD M，MUZAFFAR T. Open reduction
and internal fixation for displaced supracondylar fractures
of the humerus in children with crossed K-wires via lateral
approach〔J〕. Chin J Traumatol，2014，17（3）：130-135.
〔19〕MULHALL K J，ABUZAKUK T M，CURTIN W. Dis?
placed supracondylar fractures of the humerus in chil?
dren〔J〕. Int Orthop，2000，24（4）：221-223.
〔20〕任东伟，杨革军，赵华磊，等. 肘前侧小切口入路手术对肱
骨髁上骨折患者关节活动度及影像学指标的影响〔J〕.
河北医科大学学报，2018，39（2）：171-174.

[1]	SHI Cai-Beng, GE Chi-Chi, LIU Bin, SHU Hui-Hui, LIN Yan-Gong, ZHENG Xiao-Yu, FENG Jia. Fundus Analysis of 239 Cases of Symptomatic Infants Infected with Cytomegalovirus [J]. , 2019, 4(10): 1-6.
[2]	LI Zhong-Ke, JU Lin, LIANG Beng, DI Xuan. A Case Report of Apert Syndrome and Literature Review [J]. , 2019, 4(10): 12-15.
[3]	ZHOU Gao-Xi, SONG Zai, CHEN Gong. A Case Report of Torsion of the Gallbladder in Pediatric Population and Literature Review [J]. , 2019, 4(10): 16-18.
[4]	WU Xiang-Yu, LIU Wei, TUN Rong-De- . A Case of Pediatric Calyceal Diverticulum Complicating with Infection [J]. , 2019, 4(10): 19-21.
[5]	WANG Feng, HUANG Shou-Jiang, QIN Qi, LV Cheng-Jie, CHEN Dui- , MA Dong- , DIAO Xiao-Xia, DOU Jin-Fa. Analysis on the Treatment of 15 Cases with Congenital Gastroschisis [J]. , 2019, 4(8): 1-5.
[6]	SONG Zai, SHANG Yue, CHEN Chun, DONG Kui-Ran. Etiological Analysis on 4 Cases of Laparoscopic Pyloromyotomy Reoperation [J]. , 2019, 4(8): 6-8.
[7]	LI E-Dong. Diagnosis and Treatment of Extrahepatic Biliary Cystic Lesions in Neonates [J]. , 2019, 4(8): 9-11.
[8]	YA Lu-Bin, LAI Sai-Cong, JU Ji, FENG Jie-Xiong. Discussion on the Treatment of Perianal Abscess in Infants [J]. , 2019, 4(8): 12-15.
[9]	HE Jie, ZHANG Sha-Sha, SHEN Wei, LI Na, LIU Jing-Ling, WANG Ning, TUN Hua-Dong. The Management of Neonatal Acute Scrotal Necrotizing Fasciitis in a Case and Literature Review [J]. , 2019, 4(8): 16-22.