摘要
目的：比较分析切开复位与闭合复位内固定术治疗儿童GarlandⅢ型肱骨髁上骨折的疗效。方法：回顾性分析2012年1月至2013年12月本院收治并手术治疗的126例儿童GartlandⅢ型肱骨髁上骨折患者资料。其中切开复位组85例：男60例,女25例;闭合复位组41例：男27例,女14例。统计两组患者的骨折愈合时间及并发症发生情况。术后6个月采用Flynn肘关节评分标准进行肘关节评分并比较两组间的差异。结果：所有病例均获得随访,末次随访时间6个月至2年,平均8.4个月。随访期间骨折均获得骨性愈合,愈合时间1.4-3.0个月,平均1.8个月。术后6个月闭合复位组优良率（85.4%）与切开复位组（81.2%）相比差异无统计学意义（P〉0.05）。闭合复位组有2例术后发生尺神经损伤症状,发现后立即拔除尺侧克氏针并给予营养神经治疗,术后1.5-2.0个月症状消失。闭合复位组3例发生明显肘内翻,行肱骨髁上截骨矫形。结论：切开复位与闭合复位治疗儿童GartlandⅢ型肱骨髁上骨折均可获得满意疗效。闭合复位经皮交叉克氏针固定术治疗儿童肱骨髁上骨折术中出血量少、手术创伤小,术后肘关节功能恢复满意,值得推广应用。
Objective：To compare the clinical effect and outcome of open reduction and closed reduction internal fixation for the treatment of supracondylar fractures of the children.Methods：From January 2012 to December 2013,126 children with GartlandⅢ supracondylar fractures treated with open reduction or closed reduction and Kirschner wire fixation were analyzed retrospectively.Curative effect was observed and clincal effect was evaluated by Flynn evaluation standard.Results：All patients were followed up for 6months to 2years with an average of 8.4months.Healed fractures were obtained during follow-up.Flynn elbow rating：There was no significant difference between open reduction and closed reduction internal fixation group.Conclusion：Both open reduction and closed reduction internal fixation can obtain satisfactory results for the treatment of GartlandⅢ supracondylar fractures of children.Closed reduction and percutaneous Kirschner wire fixation has advantages of minimally invasive,firm fixation,fewer complications and high satisfaction rate.So it is a efficient technique for the treatment of Gartland Ⅲ supracondylar fractures of children.
出处
《中国中医骨伤科杂志》
CAS
2016年第5期21-24,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
