ABSTRACT
Objective:
To investigate the clinical effect of minimally invasive
treatment of supracondylar fracture of
humerus with nerve
injury and the need for surgical exploration of nerve.
Methods:
From August 2017 to September 2020, 34 cases of
children with supracondylar fracture of
humerus with nerve
injury in the Department of
orthopedics of Shanxi
Children′s
Hospital were selected for retrospective
analysis.Closed reduction,
Kirschner wire fixation and small incision
surgery were used to explore the injured nerve.The follow-up period ranged from 6 months to 3 years, with a follow-up
time of (2.15±0.49) years.The
elbow function,
radial nerve,
median nerve and
ulnar nerve function were evaluated according to the trial standard of
upper limb peripheral nerve function evaluation of
Hand Surgery Society of
Chinese Medical
Association.
Results:
The
elbow function of
children in this group excellent 31 cases, good 2 cases, fair 1 cases, poor 0 cases, excellent 33 cases.Three
patients failed to take early functional
rehabilitation exercise.Two
patients recovered after 2.5 months of
treatment by professional orthopedic
rehabilitation therapists and
physical therapy.One of them did not cooperate with functional
rehabilitation training.After 3.5 months of
treatment by orthopedic
rehabilitation therapists,
elbow and
finger functions were not affected.Two weeks after nerve
injury radial nerve function evaluation excellent in 15 cases, good in 3 cases, fair in 4 cases, poor in 0 cases, excellent in 18 cases.
Median nerve function evaluation excellent in 5 cases, good in 2 cases, fair in 6 cases, poor in 0 cases, excellent in 7 cases.
Ulnar nerve function evaluation excellent 5 cases, good 0 cases, fair 1 cases, poor 0 cases, excellent 5 cases.At 3 months after
injury, the excellent and good rate of
radial nerve,
median nerve and
ulnar nerve was 100%.
Conclusion:
The supracondylar fracture of
humerus with nerve
injury is treated by
minimally invasive surgery, and the nerve exploration is still a few.The recovery of nerve
injury after
surgery is smooth, and the clinical effect is good.