Minimally invasive surgery for children with unstable of humerus epicondyle fractures

Abstract

Objective To explore the clinical trestment outcomes d minimally invasive surgery for children with unstable humerus epicondyle fractures using biological internal fixation arid indirect reduction. Methods This series involved 86 children with unstable humerus epicondyle fractures. They were treated with close reduction and percutaneous Kirschner wire cross fixation assisted with small incisions on the medial side. Immobilization was supplemented with a plaster cast. Results Postoperative follow up ranged from 6 months to 5 years (average 2.5 years). All fractures healed. The average time of fracture healing was 1.2 month. According to Flum clinical functional assessment standard, 78 cases had excellent results, 6 cases good and 2 cases fair. The gcod-excellent rate was 98%. Conclusion Minimally invasive surgery for children with unstable humerus epicondyle fractures including close reduction and percutaneous fixation by cross K-wires. It obeys biomechanical laws, causes minimal trauma and few complications, achieves rapid recovery and leads to satisfactory treatment outcome. Key words: Humeral fractures; Child; Surgical procedures,minimally invasive