Comparison Of The Efficacy Of Elastic Intramedullary Nail And Kirschner Wire In The Treatment Of Radial Neck Fracture In Children

Objective:To compare the efficacy of elastic intramedullary nail with Kirschner wires for the treatment of children with displaced radial neck fractures and to provide a basis for treatment modalities for children with displaced radial neck fractures.Methods:A total of 42 pediatric patients with radius neck fractures who were admitted to the Department of trauma orthopedics,the first hospital of JiLin university from September 2018 to October 2022 were collected,and through the prespecified exclusion and inclusion criteria,26 remaining children with fractures classified as Judet type III radius neck fractures were enrolled.These 26 patients included 12 children treated by elastic intramedullary nail for radius neck fracture and 14 children treated by Kirschner wire for radius neck fracture.Follow up ranged from 4 to 6 months with a mean time of 4.8 months.The clinical data including gender,age,height,weight,injured side,length of two hospitalizations,cost of two hospitalizations,length of two surgical incisions,fracture healing time,postoperative complication rate,and postoperative elbow function score of the follow-up patients were collected and collated,and finally the conclusions were obtained by SPSS 23.0.Results:1.In terms of the length of the first surgical incision,there was a statistically significant difference between the two groups of children with radial neck fractures treated with elastic intramedullary nail and those treated with Kirschner wires(P<0.05);There was a statistically significant difference in the duration of the first surgery between the two groups of patients(P<0.05);There was a statistically significant difference in the cost of hospitalization for the second surgery between the two groups of patients(P<0.05);There is a statistically significant difference between the two groups of patients regarding whether internal fixation affects early functional exercise of the elbow joint after fracture surgery in children(P<0.05).2.There was no significant difference between the two treatment methods of elastic intramedullary nail internal fixation and Kirschner wire internal fixation for the treatment of radial neck fracture in terms of the first hospitalization time,the first hospitalization cost,surgical time for secondary removal of internal fixation,surgical incision length for secondary removal of internal fixation,fracture healing time,postoperative complications,and elbow joint function during fracture healing,No statistical significance(P>0.05).Conclusion:According to the statistical analysis of this study,there are advantages and disadvantages of elastic intramedullary nail compared with Kirschner wire in the treatment of children with radius and neck fracture,respectively:1.From a minimally invasive perspective,elastic intramedullary nail fixation for the treatment of radial neck fractures in children has a smaller surgical incision and more advantages.2.The treatment of radial neck fractures in children with elastic intramedullary nail fixation is more conducive to early elbow joint function exercise after fracture surgery.3.Kirschner wire internal fixation has advantages in reducing the time required for the first surgery and reducing the cost of removing the internal fixation in secondary surgery for children with radial neck fractures.4.There was no significant difference between the two treatment methods in terms of hospitalization time for the first surgery,hospitalization cost for the first surgery,surgical time for second removal of internal fixation,surgical incision length for second removal of internal fixation,fracture healing time,postoperative complications,and and elbow joint function during fracture healing.