{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:19:40Z","timestamp":1784999980445,"version":"3.55.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["U19A2057"],"award-info":[{"award-number":["U19A2057"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Health research Project of Anhui Province","award":["AHWJ2022b008"],"award-info":[{"award-number":["AHWJ2022b008"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To compare the clinical effects of intramedullary elastic reduction of the \u201cde-sharpened Kirschner wire and traditional three-dimensional manipulation in the treatment of Gartland type III posterolateral supracondylar fracture of the humerus in children.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective cohort analysis was made on 106 cases of Gartland type III posterolateral supracondylar fracture of the humerus treated in the Department of Orthopaedics of a Children\u2019s Hospital from March 2020 to March 2022. According to different surgical technology, the patients were divided into two groups: intramedullary elastic reduction of the de-sharpened Kirschner wire group (experimental group, <jats:italic>n<\/jats:italic>\u2009=\u200950) and traditional three-dimensional manipulation group (control group, <jats:italic>n<\/jats:italic>\u2009=\u200956). The surgical operating time, intraoperative fluoroscopy times, postoperative Baumann angle changes, postoperative elbow function Flynn score, and complications were collected and compared between the two groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All the enrolled cases underwent surgery successfully and were followed-up at least 6\u00a0months. The surgical operating time of the experimental group was 32.88\u2009\u00b1\u20093.69\u00a0min and that of the control group was 45.56\u2009\u00b1\u200910.13\u00a0min, and the difference was statistically significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The intraoperative fluoroscopy times were 20.62\u2009\u00b1\u20095.41 times in the experimental group and 32.48\u2009\u00b1\u20098.20 times in the control group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The change of Baumann angle in the experimental group after operation was 2.3\u2009\u00b1\u20091.3 and that in the control group was 6.0\u2009\u00b1\u20092.1 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.5). Elbow joint Flynn scoring standard to evaluate the curative effect: the excellent and good rate was 98.00% (49\/50) in the experimental group and 92.86% (52\/56) in the control group (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.5). There were no complications such as osteomyelitis, compartment syndrome, iatrogenic vascular and nerve injury, and myositis ossificans in either group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Good functional outcome can be obtained with both intramedullary elastic reduction of the de-sharpened Kirschner wire and traditional three-dimensional manipulation for Gartland type III posterolateral displaced supracondylar fracture of the humerus in children; however, the former does not need repeated manipulation, and the operation time is shorter, the number of intraoperative fluoroscopy is less, and the recovery of the Baumann angle is better.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-024-01671-4","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T06:04:39Z","timestamp":1706594679000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A new technique of intramedullary elastic reduction of the \u201cde-sharpened\u201d Kirschner wire for the treatment of Gartland type III posterolateral displaced supracondylar fracture of the humerus in children"],"prefix":"10.1186","volume":"29","author":[{"given":"Yudong","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongtuo","family":"Hua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiwen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiwei","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ge","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sicheng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"1671_CR1","doi-asserted-by":"crossref","unstructured":"Low L, Barry ME, Condell R, et al. 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