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[Proximal humeral fractures in children choose different surgical methods].

OBJECTIVE
To observe the therapeutic effect of open reduction Kirschner wire fixation and open reduction external fixation in the treatment of the proximal humeral fractures in children.


METHODS
Sixty two patients with proximal humeral fractures had received Kirschner wire fixation and external fixation in our hospital from Oct. 2010 to Aug. 2013 were collected. The Kirschner wire fixation group was 40 cases and the external fixation group 22 cases. Comparison the clinical effects of two groups.


RESULTS
Two groups operation time were (40.3 ± 7.2, 62.3 ± 6.7) min, operation amount of bleeding were (28.9 ± 14.5, 71.7 ± 17.5) ml, incision length were (32.4 ± 11.3, 63.3 ± 13.2) cm and postoperative Neer score were (96.8 ± 9.8, 92.3 ± 8.5) respectively. The external fixation group was better than Kirschner wire fixation group in above indexes and the difference was statistical significance (P < 0.05), while it showed no significant difference in hospitalization time, fracture healing time and postoperative complications (P > 0.05).


CONCLUSIONS
For the treatment of children with proximal humeral fractures, the open reduction and external fixation have some advantages, such as simple operation, small metaphyseal damage, fixed reliable for early functional exercises and good results for upper extremity functional recovery.