Abstract：Objective: To observe the clinical effect of limited open reduction and percutaneous Kirschner wire fixation for the treatment of complex fractures of children with Gartland supracondylar humerus. Methods: During the September 2016 to May 2017, the clinical controlled study was conducted in 80 cases of fractures in children in our hospital, according to patients with single and double were as the experimental group (closed reduction method) and control group (limited open reduction method), 40 patients in each group. The statistical difference between the two groups of surgical indexes, the activity of the elbow joint before and after treatment, the ROM score of the elbow joint, and the complications were compared. Results:The difference between the two groups was statistically significant(P<0.05). The difference between the two groups was statistically significant (P<0.05), and the experimental group was less than the control group. Two groups of patients after surgery(before), at discharge (buckling, pronation and supination) index differences statistically significant (P<0.05); the experimental group and control group two groups of patients with different time points (buckling, pronation and supination) index differences statistically significant (P<0.05); Two groups of patients discharged from hospital when unbend spasm, scope of flexed index differences statistically significant (P<0.05), the experimental group and control group two groups of patients with different point straight spasm, buckling cramps, scope of flexed index differences statistically significant (P<0.05); The difference between the two groups of patients was statistically significant (P<0.05). Conclusion: Limited open reduction and Kirschner wire fixation in treatment of children with complex compared to closed reduction and internal fixation of Gartland type III supracondylar fracture of the humerus, its curative effect is safe and effective, and patients in the recovery of limb function has certain clinical advantages.
林凯. 有限切开复位经皮克氏针内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折[J]. 河北医学, 2018, 24(4): 671-675.
LIN Kai. Limited Open Reduction and Kirschner Wire Fixation in treatment of Children with Refractory Gartland type III Supracondylar Fracture of the Humerus. HeBei Med, 2018, 24(4): 671-675.
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2018, Vol. 24 
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