PMID- 33546669 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1471-2474 (Electronic) IS - 1471-2474 (Linking) VI - 22 IP - 1 DP - 2021 Feb 5 TI - Prying reduction with mosquito forceps versus limited open reduction for irreducible distal radius-ulna fractures in older children: a retrospective study. PG - 147 LID - 10.1186/s12891-021-04024-y [doi] LID - 147 AB - BACKGROUND: There are disputes about which reduction technique should be adopted in treatment of distal radius-ulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children. METHODS: One hundred ten children with irreducible distal radius-ulna fractures were selected from January 2015 to December 2017 in Xi'an Hong Hui hospital. Retrospective analysis was performed. According to different reduction techniques, these children were divided into PRMF group (59 cases) and LOR group (51 cases). All children were treated with percutaneous Kirschner wire fixation and external fixation with plaster. Operation indexes, complications and wrist joint functions were compared between the two groups. RESULTS: Operation time of PRMF group was shorter than that of LOR group (P < 0.05). Incision length in PRMF group was less than that in LOR group (P < 0.05). Bleeding volume of PRMF group was less than that of LOR group (P < 0.05). Incidence of complications in PRMF group was lower than that in LOR group. CONCLUSIONS: Compared with limited open reduction, it has better clinical effects of prying reduction with mosquito forceps in treatment of irreducible distal radius-ulna fractures in older children. This technique has the advantages of simple operation, less trauma, less bleeding and fewer complications, which is worthy of clinical promotion. FAU - Huang, Qiang AU - Huang Q AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Su, Fei AU - Su F AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Wang, Zhi Meng AU - Wang ZM AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Xue, Han Zhong AU - Xue HZ AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Sun, Liang AU - Sun L AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Ma, Teng AU - Ma T AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Wang, Qian AU - Wang Q AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Lu, Yao AU - Lu Y AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Li, Ming AU - Li M AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Ren, Cheng AU - Ren C AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Zhang, Cong Ming AU - Zhang CM AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. FAU - Zhang, Kun AU - Zhang K AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. gukezhangk@163.com. FAU - Li, Zhong AU - Li Z AD - Xi'an Hong Hui hospital, Xi'an Jiaotong University College of Medicine, 710000, Xi'an, China. lizhong0607@126.com. LA - eng PT - Journal Article DEP - 20210205 PL - England TA - BMC Musculoskelet Disord JT - BMC musculoskeletal disorders JID - 100968565 SB - IM MH - Animals MH - Child MH - *Culicidae MH - Fracture Fixation, Internal MH - Humans MH - Radius MH - *Radius Fractures/diagnostic imaging/surgery MH - Retrospective Studies MH - Surgical Instruments MH - Treatment Outcome MH - *Ulna Fractures PMC - PMC7866453 OTO - NOTNLM OT - Distal radius-ulna fracture OT - Irreducible OT - Mosquito forceps OT - Older children OT - Prying reduction COIS- The authors declare that they have no competing interests. EDAT- 2021/02/07 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/02/05 CRDT- 2021/02/06 05:27 PHST- 2020/10/11 00:00 [received] PHST- 2021/01/27 00:00 [accepted] PHST- 2021/02/06 05:27 [entrez] PHST- 2021/02/07 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/02/05 00:00 [pmc-release] AID - 10.1186/s12891-021-04024-y [pii] AID - 4024 [pii] AID - 10.1186/s12891-021-04024-y [doi] PST - epublish SO - BMC Musculoskelet Disord. 2021 Feb 5;22(1):147. doi: 10.1186/s12891-021-04024-y.