Zhongguo gu shang = China journal of orthopaedics and traumatology · 2025
[Ultrasound-guided manual reduction combined with external fixation of small splints for the treatment of O'Brien type Ⅱ and Ⅲ radial neck fractures in children].
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Ding Quan-Wei, Ying Jun, Zhao Ying
Аннотация
OBJECTIVE: To explore clinical efficacy of ultrasound-guided manual reduction combined with external fixation with small splints of fir bark in treating O'Brien typeⅡand Ⅲ radial neck fractures in children.
METHODS: A retrospective analysis was conducted on clinical data of 21 children with type O'BrienⅡand Ⅲ radial neck fractures admitted from June 2023 to December 2024, including 11 boys and 10 girls; aged from 4 to 12 years old with an average of (8.43±1.60) years old;12 patients with O'Brien typeⅡand 9 patients with type Ⅲ. All treatments were carried out using ultrasound-guided manual reduction. Ultrasound examination was conducted again to check the quality of fracture reduction after reduction was completed. After the treatment, external fixation with small splints of fir bark was performed. The success rate of manual reduction and the incidence of complications during the process of manual reduction were observed. Postoperative images and post-operative functions were evaluated using Metaizeau standard.
RESULTS: All the children were followed up, and the duration ranged from 3 to 12 months. Closed reduction was successful in 19 children, while 2 children had difficulty in reduction and were transferred to surgical treatment. No related complications such as neurovascular injury occurred. Closed reduction was successful in 19 patients. Postoperative X-ray films showed good alignment and alignment of fractures, and the fracture healing time ranged from 4 to 7 weeks. Metaizeau criteria at 3 months after treatment, 17 patients were excellent and 2 good. In the later functional evaluation, all 19 patients were rated as excellent, and no obvious elbow joint dysfunction or residual pain occurred.
CONCLUSION: Ultrasound-guided manual reduction could effectively increase success rate of manual reduction for O'Brien typeⅡand Ⅲ radial neck fractures in children, and reduce radiation and adverse outcomes.
METHODS: A retrospective analysis was conducted on clinical data of 21 children with type O'BrienⅡand Ⅲ radial neck fractures admitted from June 2023 to December 2024, including 11 boys and 10 girls; aged from 4 to 12 years old with an average of (8.43±1.60) years old;12 patients with O'Brien typeⅡand 9 patients with type Ⅲ. All treatments were carried out using ultrasound-guided manual reduction. Ultrasound examination was conducted again to check the quality of fracture reduction after reduction was completed. After the treatment, external fixation with small splints of fir bark was performed. The success rate of manual reduction and the incidence of complications during the process of manual reduction were observed. Postoperative images and post-operative functions were evaluated using Metaizeau standard.
RESULTS: All the children were followed up, and the duration ranged from 3 to 12 months. Closed reduction was successful in 19 children, while 2 children had difficulty in reduction and were transferred to surgical treatment. No related complications such as neurovascular injury occurred. Closed reduction was successful in 19 patients. Postoperative X-ray films showed good alignment and alignment of fractures, and the fracture healing time ranged from 4 to 7 weeks. Metaizeau criteria at 3 months after treatment, 17 patients were excellent and 2 good. In the later functional evaluation, all 19 patients were rated as excellent, and no obvious elbow joint dysfunction or residual pain occurred.
CONCLUSION: Ultrasound-guided manual reduction could effectively increase success rate of manual reduction for O'Brien typeⅡand Ⅲ radial neck fractures in children, and reduce radiation and adverse outcomes.