| Objective To evaluate the clinical effect of mini-incision open reduction with K-wires fixation in the treatment of Jacob type III humeral lateralcondylar fracture in children. Methods A retrospective analysis was performed on 62 children with Jacob Ⅲ type humeral lateral condyle fracture admitted to Anhui Provincial Children's Hospital from January 2018 to January 2019, including 34 males, 28 females, 41 on the right side, and 21 on the left side. All of them received posterior lateral small incision open reduction and Kirschner wire internal fixation. After surgery, all the patients were casting in supinator with 90 degree flexion position of the elbow. After 6 weeks, the follow-up in a X-ray was reexamined. According to the growth of callus, the plaster was removed and K-wires was pulled out. At the last follow-up, the imaging characteristics and elbow joint function after operation were evaluated, and the incidence of postoperative complications was analyzed. Results The average follow-up time was (1.5±0.9) years, from 1 to 2 years. The average incision length was (1.8±0.6) cm, from 1.6~2.5 cm.The healing time was(6.5±2.6)weeks, from 5 to 9 weeks. According to Dhillon's elbow function score, 43 cases were excellent, 17 cases were good, 2 cases were fair, and 0 case was poor. The excellent and good rate was 96.77%. There was no severe cubitus varus deformity, delayed ulnar neuritis, delayed union or nonunion. Conclusions The mini-incision open reduction with K-wires fixation in the treatment of children with Jacob type Ⅲ humeral lateralcondylar fracture has the advantages of mini-incision, excellent clinical outcomes and no serious complications. |
