ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN TRÊN LỒI CẦU XƯƠNG CÁNH TAY KIỂU DUỖI Ở TRẺ EM BẰNG PHƯƠNG PHÁP NẮN KÍN XUYÊN ĐINH KIRSCHNER QUA DA DƯỚI MÀN TĂNG SÁNG TẠI BỆNH VIỆN ĐÔNG ANH

Abstract

Introduction: Supracondylar humerus fractures are common injuries in the pediatric population. Supracondylar fracture are divided into types according to the mechanism of injury: flexion fractures and extention fractures, of extention fractures are common and account for 97,7%.The most severe, type III injuries are severely damaged, and this type of fractures are treated with surgery and fixed with percutaneous pinning on fluoroscopy. Objective: To evaluate the surgical treatment results of pediatric supracondylar humerus closed fractures-extension type by using closed reduction – percutaneous Kirschner wiring on fluoroscopy at Dong Anh General hospital. Methods: The retrospective, prospective descriptive study was conducted on 62 patients with pediatric supracondylar humerus closed fractures-extension Gartland type III with by using closed reduction – percutaneous Kirschner wiring on fluoroscopy at Dong Anh General hospital from Janury 2021 to Janury 2024. Results: Mean age: 7,21±2,18 (4-15), mainly 7-10 tuổi (54,84%). Male/female: 2.1/1. All operations were performed in a closed manner, no cases required open reduction. Loss of reduction after K-wire fixation was identified in 2 patients. There were two iatrogenic ulna nerves with crossed pins and full recovery after the 2-month follow-up. The clinical outcomes were excellent in 46 patients, good in 11 patients (91,9% excellent or good), fair in 5 patients. Conclusion: This technique is an effective and safe option to treat type III supracondylar humerus fractures in children. The technique enhances many good effects for patients: No open surgery, no bleeding, reduced displacement of fractures like normal surgery