Closed reduction combined with Taylor three-dimensional space stent fixation for supracondylar femoral fracture in children_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LI Shen ¹ , WANG Shuai ¹ , LI Chunyou ¹ , SONG Guanpeng ¹ , SUN Yongqiang ¹ , LÜ Songfeng ¹ , LIU Xiaoyan ¹ , HE Yanhong ² , GUO Sujuan ³

1. Hand Surgery Center, Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Luoyang Henan, 471002, P.R.China;
2. Department of Orthopedics, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou Henan, 470009, P.R.China;
3. Department of Orthopedics, Yanshi City People’s Hospital, Yanshi Henan, 471900, P.R.China;

Corresponding author：

LI Shen, Email: 23457522@qq.com

Keywords：

Taylor three-dimensional space stent; supracondylar femoral fracture; closed reduction; external fixation; child

DOI：

10.7507/1002-1892.201812098

Video：

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Objective To explore the effectiveness and safety of closed reduction combined with Taylor three-dimensional space stent fixation in treatment of supracondylar femoral fractures in children.Methods Between July 2008 and July 2016, 20 patients with supracondylar femoral fractures were treated with closed reduction combined with Taylor three-dimensional space stent fixation. There were 14 males and 6 females, with an average age of 10.3 years (range, 6-14 years). The cause of injury was traffic accident in 5 cases, falling from high place in 6 cases, and falling in 9 cases. All fractures were closed fractures. Among them, 12 cases were flexion type and 8 cases were straight type. According to AO classification, 12 cases were rated as type A1 and 8 cases as type A2. The fractures were over 0.5-5.0 cm (mean, 2.5 cm) of the epiphysis line. The time from injury to surgery was 2-8 days (mean, 3.5 days). Postoperative knee joint function was evaluated based on the Kolment evaluation criteria.Results All children were followed up 6-24 months (mean, 18.1 months). There was no complication such as nail infection, vascular nerve injury, external fixation looseing, fracture displacement, or re-fracture. All fractures healed and the fracture healing time was 4-6 weeks with an average of 4.5 weeks. The stent removal time was 8-12 weeks (mean, 9.5 weeks). The gait and knee function recovered, and there was no abnormality of the epiphysis. At last follow-up, the knee joint function were excellent in 18 cases and good in 2 cases according to the Kolment evaluation criteria, and the excellent and good rate was 100%.Conclusion Closed reduction combined with Taylor three-dimensional space stent fixation is an effective treatment for the children with supracondylar femoral fractures, with small trauma and rapid recovery. It can avoid damaging the tarsal plate, be high fracture healing rate, and promote the recovery of limb function.

Citation： LI Shen, WANG Shuai, LI Chunyou, SONG Guanpeng, SUN Yongqiang, LÜ Songfeng, LIU Xiaoyan, HE Yanhong, GUO Sujuan. Closed reduction combined with Taylor three-dimensional space stent fixation for supracondylar femoral fracture in children. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(5): 537-541. doi: 10.7507/1002-1892.201812098 Copy

1.	杨德育, 王月娥, 苏在权, 等. 闭合复位结合 Ilizarov 环形外固定架治疗儿童股骨髁上骨折. 中国骨与关节杂志, 2017, 6(1): 63-67.
2.	Canale ST. 坎贝尔骨科手术学. 王岩, 主译. 北京: 人民军医出版社, 2009: 1324.
3.	葛启航, 万春友, 邵醒, 等. Taylor 空间支架结合计算机辅助闭合复位在胫腓骨骨折中的应用研究. 中国修复重建外科杂志, 2019, 33(2): 144-148.
4.	张子阳, 臧建成, 秦泗河. Ilizarov 技术治疗烧伤后马蹄内翻足畸形. 中国修复重建外科杂志, 2018, 32(2): 178-181.
5.	周立国, 董长红, 夏建军, 等. Ilizarov 技术在儿童股骨远端骨骺损伤中的应用. 中国骨与关节损伤杂志, 2016, 31(12): 1305-1306.
6.	邵景范, 张洪毅. 弹性髓内针在治疗小儿长骨骨折中的应用. 中华实用儿科临床杂志, 2015, 30(23): 1761-1765.
7.	孙华伟, 谢振军, 赵国红, 等. Ilizarov 骨延长技术治疗儿童桡骨远端骨骺早闭导致的马德隆畸形. 中华手外科杂志, 2015, 31(1): 50-52.
8.	El-Tantawy A, Atef A. Comminuted distal femur closed fractures: a new application of the Ilizarov concept of compression-distraction. Eur J Orthop Surg Traumatol, 2015, 25(3): 555-562.
9.	李军, 黄泽宇, 方跃, 等. Ilizarov 外固定行踝关节融合治疗晚期创伤性踝关节炎疗效分析. 中国修复重建外科杂志, 2017, 31(11): 1311-1315.
10.	明新武, 明新月, 董海亮, 等. 应用 Ilizarov 技术微创治疗儿童陈旧性孟氏骨折的临床研究. 中国矫形外科杂志, 2015, 23(8): 755-758.
11.	张兴鹏, 刘彦士, 马信龙, 等. 计算机辅助设计应用于 Taylor 外固定支架行长骨骨折复位的效果. 中华外科杂志, 2018, 56(10): 786-792.
12.	Choi JW, Kim N. Erratum: clinical application of three-dimensional printing technology in craniofacial plastic surgery. Arch Plast Surg, 2015, 42(4): 513.
13.	Abuomira IE, Sala F, Elbatrawy Y, et al. Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular flame. Strategies Trauma Limb Reconstr, 2016, 11(3): 153-159.
14.	颜景涛, 陈建文, 王现海. 计算机辅助 Taylor 外固定架结合足部截骨治疗成人严重马蹄内翻足. 中国矫形外科杂志, 2015, 23(21): 2003-2006.
15.	舒衡生, 马宝通, 王宏川, 等. Taylor 空间支架矫正创伤后膝内、外翻畸形. 中华骨科杂志, 2012, 32(3): 205-210.
16.	Górski R, Zarek S, Modzelewski P, et al. Open trimalleolar fractures treated with Ilizarov external fixator. Ortop Traumatol Rehabil, 2015, 17(4): 381-391.
17.	张宁宁, 万春友, 张涛, 等. Taylor 空间支架治疗胫腓骨中下段骨折疗效观察. 中国修复重建外科杂志, 2018, 32(8): 1012-1017.
18.	Henderson DJ, Rushbrook JL, Harwood PJ, et al. What are the biomechanical properties of the Taylar spatial flame^TM? Clin Orthop Relat Res, 2017, 475(5): 1472-1482.
19.	葛启航, 万春友, 刘亚北, 等. 胫腓骨开放骨折 Taylor 空间支架外固定术后轴向应力刺激对骨折愈合的影响研究. 中国修复重建外科杂志, 2017, 31(8): 931-935.
20.	刘彦士, 马信龙, 万春友, 等. 计算机辅助测量在 Taylor 外固定支架治疗胫腓骨骨折中的应用. 中国矫形外科杂志, 2017, 25(16): 1457-1462.

1. 杨德育, 王月娥, 苏在权, 等. 闭合复位结合 Ilizarov 环形外固定架治疗儿童股骨髁上骨折. 中国骨与关节杂志, 2017, 6(1): 63-67.
2. Canale ST. 坎贝尔骨科手术学. 王岩, 主译. 北京: 人民军医出版社, 2009: 1324.
3. 葛启航, 万春友, 邵醒, 等. Taylor 空间支架结合计算机辅助闭合复位在胫腓骨骨折中的应用研究. 中国修复重建外科杂志, 2019, 33(2): 144-148.
4. 张子阳, 臧建成, 秦泗河. Ilizarov 技术治疗烧伤后马蹄内翻足畸形. 中国修复重建外科杂志, 2018, 32(2): 178-181.
5. 周立国, 董长红, 夏建军, 等. Ilizarov 技术在儿童股骨远端骨骺损伤中的应用. 中国骨与关节损伤杂志, 2016, 31(12): 1305-1306.
6. 邵景范, 张洪毅. 弹性髓内针在治疗小儿长骨骨折中的应用. 中华实用儿科临床杂志, 2015, 30(23): 1761-1765.
7. 孙华伟, 谢振军, 赵国红, 等. Ilizarov 骨延长技术治疗儿童桡骨远端骨骺早闭导致的马德隆畸形. 中华手外科杂志, 2015, 31(1): 50-52.
8. El-Tantawy A, Atef A. Comminuted distal femur closed fractures: a new application of the Ilizarov concept of compression-distraction. Eur J Orthop Surg Traumatol, 2015, 25(3): 555-562.
9. 李军, 黄泽宇, 方跃, 等. Ilizarov 外固定行踝关节融合治疗晚期创伤性踝关节炎疗效分析. 中国修复重建外科杂志, 2017, 31(11): 1311-1315.
10. 明新武, 明新月, 董海亮, 等. 应用 Ilizarov 技术微创治疗儿童陈旧性孟氏骨折的临床研究. 中国矫形外科杂志, 2015, 23(8): 755-758.
11. 张兴鹏, 刘彦士, 马信龙, 等. 计算机辅助设计应用于 Taylor 外固定支架行长骨骨折复位的效果. 中华外科杂志, 2018, 56(10): 786-792.
12. Choi JW, Kim N. Erratum: clinical application of three-dimensional printing technology in craniofacial plastic surgery. Arch Plast Surg, 2015, 42(4): 513.
13. Abuomira IE, Sala F, Elbatrawy Y, et al. Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular flame. Strategies Trauma Limb Reconstr, 2016, 11(3): 153-159.
14. 颜景涛, 陈建文, 王现海. 计算机辅助 Taylor 外固定架结合足部截骨治疗成人严重马蹄内翻足. 中国矫形外科杂志, 2015, 23(21): 2003-2006.
15. 舒衡生, 马宝通, 王宏川, 等. Taylor 空间支架矫正创伤后膝内、外翻畸形. 中华骨科杂志, 2012, 32(3): 205-210.
16. Górski R, Zarek S, Modzelewski P, et al. Open trimalleolar fractures treated with Ilizarov external fixator. Ortop Traumatol Rehabil, 2015, 17(4): 381-391.
17. 张宁宁, 万春友, 张涛, 等. Taylor 空间支架治疗胫腓骨中下段骨折疗效观察. 中国修复重建外科杂志, 2018, 32(8): 1012-1017.
18. Henderson DJ, Rushbrook JL, Harwood PJ, et al. What are the biomechanical properties of the Taylar spatial flame^TM? Clin Orthop Relat Res, 2017, 475(5): 1472-1482.
19. 葛启航, 万春友, 刘亚北, 等. 胫腓骨开放骨折 Taylor 空间支架外固定术后轴向应力刺激对骨折愈合的影响研究. 中国修复重建外科杂志, 2017, 31(8): 931-935.
20. 刘彦士, 马信龙, 万春友, 等. 计算机辅助测量在 Taylor 外固定支架治疗胫腓骨骨折中的应用. 中国矫形外科杂志, 2017, 25(16): 1457-1462.

Chinese Journal of Reparative and Reconstructive Surgery

Closed reduction combined with Taylor three-dimensional space stent fixation for supracondylar femoral fracture in children

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