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.	楊德育, 王月娥, 蘇在權, 等. 閉合復位結合 Ilizarov 環形外固定架治療兒童股骨髁上骨折. 中國骨與關節雜志, 2017, 6(1): 63-67.
2.	Canale ST. 坎貝爾骨科手術學. 王巖, 主譯. 北京: 人民軍醫出版社, 2009: 1324.
3.	葛啟航, 萬春友, 邵醒, 等. Taylor 空間支架結合計算機輔助閉合復位在脛腓骨骨折中的應用研究. 中國修復重建外科雜志, 2019, 33(2): 144-148.
4.	張子陽, 臧建成, 秦泗河. Ilizarov 技術治療燒傷后馬蹄內翻足畸形. 中國修復重建外科雜志, 2018, 32(2): 178-181.
5.	周立國, 董長紅, 夏建軍, 等. Ilizarov 技術在兒童股骨遠端骨骺損傷中的應用. 中國骨與關節損傷雜志, 2016, 31(12): 1305-1306.
6.	邵景范, 張洪毅. 彈性髓內針在治療小兒長骨骨折中的應用. 中華實用兒科臨床雜志, 2015, 30(23): 1761-1765.
7.	孫華偉, 謝振軍, 趙國紅, 等. Ilizarov 骨延長技術治療兒童橈骨遠端骨骺早閉導致的馬德隆畸形. 中華手外科雜志, 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.	李軍, 黃澤宇, 方躍, 等. Ilizarov 外固定行踝關節融合治療晚期創傷性踝關節炎療效分析. 中國修復重建外科雜志, 2017, 31(11): 1311-1315.
10.	明新武, 明新月, 董海亮, 等. 應用 Ilizarov 技術微創治療兒童陳舊性孟氏骨折的臨床研究. 中國矯形外科雜志, 2015, 23(8): 755-758.
11.	張興鵬, 劉彥士, 馬信龍, 等. 計算機輔助設計應用于 Taylor 外固定支架行長骨骨折復位的效果. 中華外科雜志, 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.	顏景濤, 陳建文, 王現海. 計算機輔助 Taylor 外固定架結合足部截骨治療成人嚴重馬蹄內翻足. 中國矯形外科雜志, 2015, 23(21): 2003-2006.
15.	舒衡生, 馬寶通, 王宏川, 等. Taylor 空間支架矯正創傷后膝內、外翻畸形. 中華骨科雜志, 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.	張寧寧, 萬春友, 張濤, 等. Taylor 空間支架治療脛腓骨中下段骨折療效觀察. 中國修復重建外科雜志, 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.	葛啟航, 萬春友, 劉亞北, 等. 脛腓骨開放骨折 Taylor 空間支架外固定術后軸向應力刺激對骨折愈合的影響研究. 中國修復重建外科雜志, 2017, 31(8): 931-935.
20.	劉彥士, 馬信龍, 萬春友, 等. 計算機輔助測量在 Taylor 外固定支架治療脛腓骨骨折中的應用. 中國矯形外科雜志, 2017, 25(16): 1457-1462.

1. 楊德育, 王月娥, 蘇在權, 等. 閉合復位結合 Ilizarov 環形外固定架治療兒童股骨髁上骨折. 中國骨與關節雜志, 2017, 6(1): 63-67.
2. Canale ST. 坎貝爾骨科手術學. 王巖, 主譯. 北京: 人民軍醫出版社, 2009: 1324.
3. 葛啟航, 萬春友, 邵醒, 等. Taylor 空間支架結合計算機輔助閉合復位在脛腓骨骨折中的應用研究. 中國修復重建外科雜志, 2019, 33(2): 144-148.
4. 張子陽, 臧建成, 秦泗河. Ilizarov 技術治療燒傷后馬蹄內翻足畸形. 中國修復重建外科雜志, 2018, 32(2): 178-181.
5. 周立國, 董長紅, 夏建軍, 等. Ilizarov 技術在兒童股骨遠端骨骺損傷中的應用. 中國骨與關節損傷雜志, 2016, 31(12): 1305-1306.
6. 邵景范, 張洪毅. 彈性髓內針在治療小兒長骨骨折中的應用. 中華實用兒科臨床雜志, 2015, 30(23): 1761-1765.
7. 孫華偉, 謝振軍, 趙國紅, 等. Ilizarov 骨延長技術治療兒童橈骨遠端骨骺早閉導致的馬德隆畸形. 中華手外科雜志, 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. 李軍, 黃澤宇, 方躍, 等. Ilizarov 外固定行踝關節融合治療晚期創傷性踝關節炎療效分析. 中國修復重建外科雜志, 2017, 31(11): 1311-1315.
10. 明新武, 明新月, 董海亮, 等. 應用 Ilizarov 技術微創治療兒童陳舊性孟氏骨折的臨床研究. 中國矯形外科雜志, 2015, 23(8): 755-758.
11. 張興鵬, 劉彥士, 馬信龍, 等. 計算機輔助設計應用于 Taylor 外固定支架行長骨骨折復位的效果. 中華外科雜志, 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. 顏景濤, 陳建文, 王現海. 計算機輔助 Taylor 外固定架結合足部截骨治療成人嚴重馬蹄內翻足. 中國矯形外科雜志, 2015, 23(21): 2003-2006.
15. 舒衡生, 馬寶通, 王宏川, 等. Taylor 空間支架矯正創傷后膝內、外翻畸形. 中華骨科雜志, 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. 張寧寧, 萬春友, 張濤, 等. Taylor 空間支架治療脛腓骨中下段骨折療效觀察. 中國修復重建外科雜志, 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. 葛啟航, 萬春友, 劉亞北, 等. 脛腓骨開放骨折 Taylor 空間支架外固定術后軸向應力刺激對骨折愈合的影響研究. 中國修復重建外科雜志, 2017, 31(8): 931-935.
20. 劉彥士, 馬信龍, 萬春友, 等. 計算機輔助測量在 Taylor 外固定支架治療脛腓骨骨折中的應用. 中國矯形外科雜志, 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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