摘要
目的:探讨外侧微型钢板及克氏针辅助固定治疗儿童肱骨远端骨干-干骺端交界性骨折的手术方法及临床疗效。方法:回顾性分析自2015年1月至2018年12月收治的21例肱骨远端骨干-干骺端交界性骨折患儿,男12例,女9例;年龄2~10岁,平均4.5岁;受伤至手术时间6 h^7 d。影像学资料显示骨折线位于肱骨远端骨干-干骺端交界区域,斜形骨折10例,横形骨折8例,粉碎骨折3例。手术方式均采用切开复位外侧微型钢板及克氏针辅助内固定,采用改良Flynn肘关节评分标准进行临床疗效评价。结果:21例患儿均得到随访,时间8~24个月,平均13个月,愈合时间为6~8周,平均7.2周,术后均未出现骨折再移位、肘内翻畸形及尺神经损伤等并发症。按照改良Flynn肘关节评分标准进行评价,优19例,良2例。结论:儿童肱骨远端骨干-干骺端交界性骨折与肱骨髁上骨折治疗方法不同,采用切开复位外侧微型钢板及克氏针辅助固定治疗具有稳定性强、功能良好、并发症少的优点值得临床推广。
Objective:To explore the operative method and clinical effect of lateral mini plate and Kirschner wire in the treatment of distal humeral metaphysis junction fracture in children.Methods:From January 2015 to December 2018,21 cases of distal humeral diaphyseal metaphyseal junction fracture were analyzed retrospectively,including 12 males and 9 females,aged 2 to 10 years with an average age of 4.5 years,and the time from injury to operation was 6 hours to 7 days.The imaging data showed that the fracture line was located at the junction of the distal humerus and metaphysis.There were 10 oblique fractures,8 transverse fractures and 3 comminuted fractures.The operation methods were open reduction,lateral mini plate and Kirschner wire assisted internal fixation,and the improved Flynn elbow joint scoring standard was used to evaluate the clinical effect.Results:All the 21 children were followed up for 8 to 24 months,with an average of 13 months.The healing time was 6 to 8 weeks,with an average of 7.2 weeks.There were no complications such as fracture displacement,cubitus varus and ulnar nerve injury.According to the improved Flynn elbow joint scoring standard,19 cases were excellent and 2 cases were good.Conclusion:The treatment of distal humeral metaphyseal junction fracture in children is different from that of supracondylar fracture of humerus.
作者
薛远亮
陈云刚
边辛近
张兵
XUE Yuan-liang;CHEN Yun-gang;BIAN Xin-jin;ZHANG Bing(Department of Orthopaedics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China)
出处
《中国骨伤》
CAS
CSCD
2020年第4期379-382,共4页
China Journal of Orthopaedics and Traumatology
关键词
肱骨骨折
骨折固定术
内
外科手术
Humeral fractures
Fracture fixation
internal
Surgical procedures
operative
