Prying reduction with mosquito forceps versus limited open reduction for irreducible distal radius\u2010ulna fractures in older children: a retrospective study

Qiang Huang,Teng Ma,Cong Ming Zhang,Zhong Li,Yao Lu,Han Zhong Xue,Zhi Meng Wang,Ming Li,Cheng Ren,Liang Sun,Fei Su,Kun Zhang,Qian Wang

doi:10.1186/s12891-021-04024-y

Qiang Huang, Teng Ma + Show 11 more

Open Access

https://doi.org/10.1186/s12891-021-04024-y

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Abstract

BackgroundThere are disputes about which reduction technique should be adopted in treatment of distal radius-ulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children.MethodsOne hundred ten children with irreducible distal radius-ulna fractures were selected from January 2015 to December 2017 in Xi’an Hong Hui hospital. Retrospective analysis was performed. According to different reduction techniques, these children were divided into PRMF group (59 cases) and LOR group (51 cases). All children were treated with percutaneous Kirschner wire fixation and external fixation with plaster. Operation indexes, complications and wrist joint functions were compared between the two groups.ResultsOperation time of PRMF group was shorter than that of LOR group (P < 0.05). Incision length in PRMF group was less than that in LOR group (P < 0.05). Bleeding volume of PRMF group was less than that of LOR group (P < 0.05). Incidence of complications in PRMF group was lower than that in LOR group.ConclusionsCompared with limited open reduction, it has better clinical effects of prying reduction with mosquito forceps in treatment of irreducible distal radius-ulna fractures in older children. This technique has the advantages of simple operation, less trauma, less bleeding and fewer complications, which is worthy of clinical promotion.

Highlights

There are disputes about which reduction technique should be adopted in treatment of distal radiusulna fractures in older children who failed to achieve manual reduction
PRMF stands for prying reduction with mosquito forceps, LOR stands for limited open reduction temporary fixation of plaster before operation
Operation indexes The incision length of PRMF group was 0.5 ± 0.2 cm, which was smaller than LOR group of 4.2 ± 1.3 cm (P < 0.05)

Summary

Introduction

There are disputes about which reduction technique should be adopted in treatment of distal radiusulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children. Standard treatment is closed reduction and plaster fixation in a distal radius-ulna fracture [3,4,5]. The effect of conservative treatment is exact, there are some risks, such as difficult reduction, long time of plaster external fixation, and redisplacement of fractures [6, 7]. The authors used mosquito forceps for prying reduction and achieved satisfactory results.

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