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Abstract Objective To study the clinic effect of elastic intramedullary nail and kirschner wire fixation for treatment ofradiusneck fracture in children with O’Brien Ⅱ and Ⅲ.Methods Thedata of 122 children data with O’Brien Ⅱ and Ⅲ radius neck fractures from June 2014 to May 2017 were retrospectively analyzed.According to the fixation method，60 children with elastic intramedullary nailing were set as the control group，including 34 males and 26 females；aged 5~13 years，mean (7.8 ± 1.4) years；41 cases O’Brien Ⅱ tibia neck fractures and 19 cases type Ⅲ of radial neck fracture.62 children with Kirschner wire fixation were set as the study group，including 35 males and 27 females；aged 6~12 years，mean (8.2±1.5) years old；39 cases of O’Brien Ⅱ radial neck fracture and 23 cases type Ⅲ tibia of neck fracture.The surgery situation，reduction situation，and Mayo elbow function scores between the two groups were compared.Results The operation time and hospitalization time of the control group were significantly higher than that of the study group，and the differences were statistically significant (P＜0.05).There was no significant difference in intraoperative blood loss and fracture healing time between the two groups (P＞0.05).In the control group，there were46 patients with excellentreduction，10 good，4 mean，and nopoor reduction.The study group had 50 patients with excellent reduction，9 good，3 middle，and 0 poor results.There was no statistical significance (P＞0.05).There were no significant differences in pain，motor function，stability，daily activity scores，and Mayo elbow joint function total scores between the two groups (P＞0.05).Conclusion Elastic intramedullary nail and Kirschner wire fixation for O’Brien type Ⅱ and Ⅲ children with radius neck fractures can achieve good clinical results and restore the elbow joint function of children.However，the operation time and hospitalization time of Kirschner wire fixation treatment are shorter.
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