摘要
目的通过Meta分析比较闭合复位经皮克氏针内固定与切开复位克氏针内固定治疗儿童GartlandⅢ型肱骨髁上骨折的疗效。方法通过检索关于儿童GartlandⅢ型肱骨髁上骨折经皮克氏针内固定与切开复位克氏针内固定对照研究的4篇文章,采用循证医学Meta分析法对肘关节功能、提携角、术后并发症进行综合分析。结果 Meta分析发现,经皮克氏针内固定与切开复位克氏针内固定治疗儿童GartlandⅢ型肱骨髁上骨折在肘关节功能、提携角、术后并发症方面并无明显统计学差异。结论儿童GartlandⅢ型肱骨髁上骨折首选闭合复位经皮克氏针固定,当闭合复位失败或伴有神经、血管损伤时可采用切开复位内固定治疗。
Objective To assess the effects of closed reduction with pereutaneous pinning and open reduction with pinning for treatment of children with type Ill supraeondyla fractures. Methods Data sources were studied and identified by using the Pubmed Medlifle database, Ovid Medline database and CNKI database, scanning of the relevant reference lists. Results Four control studies comparing closed reduction with percutaneous pinning and open reduction with pinning were analyzed, including a total of 263 patients. Two studies were RCT, two studies CCT. There was no significant difference in the functional results according to criteria of Flynn （P =0.20,OR=0.26）. There was no significant difference in the carrying angle according to criteria of Flynn （P =0.51, OR=0.74）.There was no significant difference in the nerve/vascular injury （P =0.38, OR=0.59）, There was no significant difference in the Infection （P =0.59, OR=0.99）. Conclusion We recommend that closed reduction with pereutaneous pinning should be performed first unless some special circumstances are present, for example： closed reduction fails, fractures with nerve/vascular injury.
出处
《中国骨与关节损伤杂志》
2012年第11期1002-1005,共4页
Chinese Journal of Bone and Joint Injury
关键词
儿童
肱骨髁上骨折
META分析
经皮
切开
Children
Supracondyla fractures of humerus
Meta-analysis
Percutaneous
Open
