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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2024 | Research article

Kirschner Wire Prying and Leverage Technique: a new closed reduction method in treatment of pediatric “Irreducible Supracondylar Humerus Fractures”

Authors: Yuan Xiao, Arthur Clement, Chi Kang, Bo Ren, Xin Liu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

Abstract

Background

This study employs an innovative closed reduction approach to treat pediatric "Irreducible Supracondylar Humerus Fractures" with the goal of demonstrating its practical application compared to conventional methods.

Methods

This study sampled 146 surgically treated cases of "Irreducible Supracondylar Humerus Fractures" in our department. After applying inclusion and exclusion criteria, 120 children were selected and divided into two groups based on treatment methods. Group 1 underwent Closed Reduction and Percutaneous Pinning (CRPP), while Group 2 received treatment using the Kirschner Wire Prying and Leverage Technique alongside CRPP. The relevant data to the study were collected and assessed during the follow-up period.

Results

Results indicate that Group 2 demonstrated significantly shorter operative times and fewer instances of intraoperative fluoroscopy compared to Group 1. Furthermore, the percentage of cases requiring open reduction was notably higher in Group 1 than in Group 2. The analysis also identified age, BMI, time from injury to surgery, and the initial deviation of the distal fragment as independent risk factors associated with the failure of closed reduction.

Summary

The integration of CRPP with the Kirschner Wire Prying and Leverage Technique emerges as a safe and effective strategy for managing "Irreducible Supracondylar Humerus Fractures." This innovative approach not only reduces operative time and intraoperative fluoroscopy needs but also diminishes the reliance on open reduction without compromising safety.

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Title: Kirschner Wire Prying and Leverage Technique: a new closed reduction method in treatment of pediatric “Irreducible Supracondylar Humerus Fractures”
Authors: Yuan Xiao
Arthur Clement
Chi Kang
Bo Ren
Xin Liu
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-024-04592-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Kirschner Wire Prying and Leverage Technique: a new closed reduction method in treatment of pediatric “Irreducible Supracondylar Humerus Fractures”

Abstract

Background

Methods

Results

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Summary

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