摘要
[目的]分析79例儿童前臂远端骨折闭合复位小夹板固定后移位相关因素。[方法]回顾性分析2012年9月至2014年10月间79例闭合复位小夹板固定儿童前臂远端骨折患者资料,并记录年龄、性别、骨折部位、成角、移位程度、和否合并尺骨骨折、骨折是否斜行骨折、复位固定医师级别、复位精确程度,并评估这些因素对骨折移位影响和相关性。[结果]79例患者中14例(17.7%)出现骨折移位.对骨折再移位影响因素中,性别、年龄无显著性差异;原始骨折掌侧成角与背侧成角无显著差异;左侧肢体发生骨折移位多于右侧;前臂远端骨折合并尺骨骨折,再次移位明显增加;原始骨折完全移位再次移位明显大于原始骨折未完全移位,斜行骨再次移位明显大于非斜行骨折。高级职称医师复位固定优于初中级医师;解剖复位后再次移位显著减少。[结论]儿童前臂远端骨折行闭合复位小夹板固定治疗出现再移位影响因素是多方面的,骨折原始移位程度和骨折经复位后是否达到解剖复位是最主要影响因素。
[Objective]To study correlative factors of 79 cases pediatric distal forearm fractures responsible for redisplacement after close reduction with split fixation. [Method]This retrospective study included 79 children with distal forearm fractures. Age, sex, location of fracture, angulation, displacement, an associated ulna fracture, oblique fracture, grade of treatment doctors and accuracy of reduction were measured for assessment as potential influence factors to redisplacement. [Result]Redisplacement occurred in 14 of the 79 cases （17.7%）.to potential influence factors for redisplacement, there was no significant difference in age and sex as well as between volar angulation and dorsal angulation while left limb was more possible then right, an associated ulna fracture increase possibility of redisplacement ; oblique and complete initial displacement fractures were identified more possible leading to redisplacement than no oblique and incomplete initial displacement fractures;senior physician was superior to junior physician in doing reduced and fixated fracture.occurrence of redisplacement significant decreased while anatomic reduction. [Conclusion]Correlative factors to redisplaeement of pediatric distal forearm fractures after close reduction with split fixation were various, Initial complete displacement and inability or no to achieve anatomic reduction were identified as the most important factor leading to redisplacement.
出处
《实用中医内科杂志》
2015年第7期1-3,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
广东省中医药管理局(No:20132028)
关键词
儿童前臂远端骨折
闭合复位小夹板固定
再次移位
相关因素
回顾性分析
pediatric distal forearm fractures
close reduction with split fixation
redisplacement
correlative factor
retrospectively analysis
