Modifitseeritud Dorgani-tehnika hindamine nihkega õlavarreluu suprakondülaarse murruga laste ravimeetodina

Abstract

Fractures of the bones, involved in elbow joint, especially distal humerus, are diagnosed commonly in children. They compose to 10% of all paediatric fractures. Supracondylar humerus fractures are common in the first decade of life. We suggest to apply the unpublished modification of Dorgan technique(cross–lateral pinning) in our study – primarily a K–wire is introduced through lateral condyle, then the second K–wire is introduced through medial condyle. The aim of the study was to optimize the tactics of the treatment in children with displaced supracondylar humeral fracture (DSCHF). Methods. From January 01, 2018 to December 31, 2021.42 patients with DSCHF were treated at Orthopaedics Surgery division of Clinic of Paediatrics Surgery, Kaunas, Lithuania. All patients were treated by using modified Dorgan technique(MDT – cross–lateral pinning). We evaluated early and late results (6-month post-op) of the treatment and incidence of iatrogenic neurological complications in children with displaced supracondylar humeral fracture (DSCHF) treated using traditional modified Dorgan technique (MDT – cross–lateral pinning).Results. Statistically significant difference was not obtained(p>0.05) evaluating late functional changes of elbow joint in children with DSCHF. Iatrogenic injuries of ulnar nerve were more common in patients with DSCHF that were applied traditional PPKW (cross pinning) surgery than applying MDT(cross–lateral pinning).Conclusions. This technique leads to significant reduction of iatrogenic neurological complications. Late results of the treatment using this technique do not differ from standard pinning techniques in children.