Kết quả điều trị gãy kín trên lồi cầu xương cánh tay ở trẻ em bằng nắn kín và xuyên đinh Kirschner qua da tại Bệnh viện Trung ương Thái Nguyên

Pediatric supracondylar humerus fractures are among the most common elbow injuries in children, often presenting complex challenges in management. The effective treatment of these fractures is paramount to ensure proper bone healing, restore full limb function, and prevent long-term complications such as malunion or nerve damage. This academic paper addresses the critical need for optimal outcomes by investigating the efficacy of closed reduction and percutaneous Kirschner wire fixation for pediatric supracondylar humerus fractures. By evaluating the clinical and aesthetic results, alongside factors influencing them, this study contributes valuable insights into a widely adopted surgical approach, aiming to highlight its importance in achieving good functional and cosmetic outcomes while minimizing iatrogenic risks like ulnar nerve injury.

Orthopedic surgeons, pediatricians, medical students, and researchers in pediatric orthopedics.

This cross-sectional study rigorously evaluated the treatment outcomes of closed reduction and percutaneous Kirschner wire fixation for pediatric supracondylar humerus fractures at Thai Nguyen National Hospital. Involving 35 child patients treated from July 2024 to April 2025, the research focused on a lateral-pin technique under fluoroscopic guidance. The findings demonstrated remarkable success, with all 35 patients achieving favorable clinical carrying angles and good rehabilitation, signifying excellent recovery. Importantly, the study reported no cases of radial or ulnar nerve injury observed immediately after the procedure. Overall, the treatment yielded 85.7% "good" results and 11.4% "fair" results based on the comprehensive Flynn's criteria. While one instance of temporary post-operative ulnar nerve injury was recorded, it fully recovered within six months, and two cases of pin-site infection were successfully managed. These results underscore that this specific surgical technique is an effective option for managing supracondylar humeral fractures in children. It consistently delivers good functional and cosmetic outcomes while significantly minimizing the risk of iatrogenic ulnar nerve injury, making it a valuable and safe approach in pediatric orthopedic practice for improving patient quality of life.