• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · May 2016

    [SURGICAL TREATMENT OF Seymour FRACTURES IN CHILDREN AND ADOLESCENTS].

    • Lei Zhang, Yuming Zuo, Yueguang Wang, Hongyan Zhou, Guoqiang Wang, Tieqiang Yu, Fan Yi, and Liang Li.
    • Department of Pediatric Orthopedics, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P. R. China.
    • Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 May 8; 30 (5): 529-531.

    ObjectiveTo discuss the treatment method and effectiveness of Seymour fracture in children and adolescents.MethodsBetween January 2013 and November 2015, 26 children and adolescents with Seymour fractures were treated. There were 18 males and 8 females, aged from 1 year and 1 month to 17 years (median, 8.2 years). The injury causes included crush in 14 cases, bruise in 10 cases, and puncture in 2 cases. The thumb was involved in 2 cases, index finger in 1 case, middle finger in 12 cases, ring finger in 6 cases, and little finger in 5 cases. The time from injury to operation was 1-15 hours (mean, 3.2 hours). The patients underwent debridement, nail removal, nail matrix repair, closed reduction and osteosynthesis with Kirschner wires, and splinting in emergency. Kirschner wires and splints were removed at 4 weeks after surgery, and functional exercises were done.ResultsAll wounds healed by first intention without infection. The follow-up duration was 2-24 months (mean, 12.3 months). The fracture healing was obtained at 1-2 months (mean, 1.4 months) on X-ray film, and no complications of nonunion, malunion, re-displacement, premature epiphyseal closure, or no growth of the nails occurred. Nail deformity developed in 1 case and no re-operation was given. At last follow-up, 1 patient had 10° extension limitation of the distal interphalangeal joint, but the flexion was normal. The motion range of distal interphalangeal joint was 0-75°, showing no significant difference when compared with that of contralateral side (0-78°).ConclusionsThe effectiveness for treating Seymour fracture is satisfactory by debridement, nail removal, nail matrix repair, closed reduction and osteosynthesis with Kirschner wires, and splinting in emergency.

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