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Liu H, Li L, Ding Q, Ge Y, Ding Y, Wang S, Fei H. Application of Kirschner wire placement guided technology in paediatric supracondylar humerus fractures. BMC Musculoskelet Disord 2024; 25:56. [PMID: 38216954 PMCID: PMC10787493 DOI: 10.1186/s12891-023-07160-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 12/29/2023] [Indexed: 01/14/2024] Open
Abstract
BACKGROUND To analyze the clinical efficacy of K-wire placement guided technology in paediatric supracondylar humerus fractures. METHODS A retrospective study was conducted in 105 patients who underwent closed reduction and percutaneous pinning surgeries in our hospital from June 2019 to August 2022. 54 patients treated with a assisted reduction fixation device to assist in closed reduction and percutaneous K-wire cross-fixation were allocated into the Non-guided group, and 51 patients with K-wire placement guided technology to guide K-wire placement were assigned into the Guided group. The operation duration, number of disposable K-wire placement, intraoperative fluoroscopy frequency, Baumann angle, carrying angle, fracture healing time and Flynn score of elbow joint function at the final follow-up were compared between two groups. The postoperative complications of two groups were recorded. RESULTS There were significant differences between two groups in terms of operation duration, intraoperative fluoroscopy frequency, and disposable K-wire placement rate (p < 0. 05), while no significant differences of Baumann angle, carrying angle and the fracture healing time between two groups were observed (p > 0. 05). In the control group, ulnar nerve injury in 2 case, pin site infection in 4 cases, mild cubitus varus in 2 cases and loss of reduction in 4 cases were detected. In the study group, ulnar nerve injury in 1 case, pin site infection in 2 cases and loss of reduction in 1 case was observed. There was no significant difference in Flynn scores between two groups. CONCLUSION K-wire placement guided technology is simple and convenient. The application of K-wire placement guided technology could relatively improved disposable K-wire placement rate, shorten the intraoperative fluoroscopy frequencies and reduce complication rates.
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Affiliation(s)
- Huan Liu
- Department of Orthopedics, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, 223300, China
| | - Lingzhi Li
- Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China
| | - Qirui Ding
- Department of Orthopedics, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, 223300, China
| | - Yunru Ge
- Department of Orthopedics, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, 223300, China
| | - Ying Ding
- Huaiyin Normal University, Huaian, 223300, China
| | - Shouguo Wang
- Department of Orthopedics, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, 223300, China.
| | - Haodong Fei
- Department of Orthopedics, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, 223300, China.
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Vescio A, Carlisi G, Macrì VR, Sanzo F, Gigliotti G, Riccelli DA, Tedesco G, Mercurio M, Galasso O, Gasparini G, Jackson GR, Chahla J, Familiari F. The Effect of Fracture Patterns, Pinning Configuration, Surgeon Experience and Subspecialty on Short-Term Radiological Outcomes of Pediatric Supracondylar Humeral Fractures Treated in the Prone Position: A Case-Series. Healthcare (Basel) 2023; 11:2648. [PMID: 37830685 PMCID: PMC10573001 DOI: 10.3390/healthcare11192648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 09/19/2023] [Accepted: 09/26/2023] [Indexed: 10/14/2023] Open
Abstract
BACKGROUND The most common treatment modality for supracondylar humerus fractures (SCHFs) in children is closed reduction and percutaneous pinning (CRPP). Nonetheless, debate persists regarding the optimal technique used. Therefore, the purpose of our study was to investigate the impact of surgeon experience, surgeon subspecialty and pin configuration on short-term radiological outcomes following CRPP of displaced SCHFs. METHODS Patients less than 14 years of age who underwent CRPP for displaced SCHFs in the prone position between January 2018 and December 2022 were analyzed. Patients were separated into subgroups based on fracture type (low vs. high sagittal), pin configuration (lateral, cross, other), number and configuration of K-wires and first operator surgical experience. The following outcome measurements were collected: postoperative Baumann angle (BA), Shaft-Condylar angle (SCA), surgical duration (SD), duration of radiation exposure (DRE) and number of clinical and radiological follow-ups (FU). RESULTS A total of 44 patients with a mean age of 6 ± 2.5 years were included in the final analysis. The mean post-operative BA and SCA were 74.8° ± 4.9° and 37.7° ± 10.2°, respectively. No significant differences were found in the post-operative Baumann's angle or SCA among the subgroups. Regarding secondary outcomes, no differences were found among each subgroup regarding SD, DRE and FUs. CONCLUSION Short-term radiological outcomes following the treatment of SCHFs treated in the prone position are not affected by fracture patterns and pinning configuration, regardless of the surgeon's years of experience or subspecialty.
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Affiliation(s)
- Andrea Vescio
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Giovanni Carlisi
- Departiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy; (G.C.); (O.G.); (G.G.); (F.F.)
| | - Vincenzo Roberto Macrì
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Francesco Sanzo
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Giuseppe Gigliotti
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Daria Anna Riccelli
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Giuseppe Tedesco
- Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy; (A.V.); (V.R.M.); (F.S.); (G.G.); (D.A.R.); (G.T.)
| | - Michele Mercurio
- Departiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy; (G.C.); (O.G.); (G.G.); (F.F.)
| | - Olimpio Galasso
- Departiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy; (G.C.); (O.G.); (G.G.); (F.F.)
- Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG, Magna Graecia University, 88100 Catanzaro, Italy
| | - Giorgio Gasparini
- Departiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy; (G.C.); (O.G.); (G.G.); (F.F.)
- Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG, Magna Graecia University, 88100 Catanzaro, Italy
| | - Garrett R. Jackson
- Department of Orthopaedic Surgery, Rush University, Chicago, IL 60612, USA; (G.R.J.); (J.C.)
| | - Jorge Chahla
- Department of Orthopaedic Surgery, Rush University, Chicago, IL 60612, USA; (G.R.J.); (J.C.)
| | - Filippo Familiari
- Departiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy; (G.C.); (O.G.); (G.G.); (F.F.)
- Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG, Magna Graecia University, 88100 Catanzaro, Italy
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