摘要
目的比较闭合复位弹性髓内钉固定和经皮克氏针撬拨复位固定对儿童桡骨颈骨折的临床疗效。方法回顾性分析82例桡骨颈骨折患儿的临床资料,根据手术方式的不同分为克氏针组(n=40)和髓内钉组(n=42),比较2组围术期指标和术后肘关节功能恢复情况。结果2组手术出血量、住院时间、骨折愈合时间比较,差异无统计学意义(P>0.05);髓内钉组手术时间为(33.69±4.45)min,长于克氏针组的(29.36±4.56)min,差异有统计学意义(P<0.05);2组术后骨折愈合优良率、Mayo肘关节功能评分以及屈、伸、旋前、旋后活动度比较,差异无统计学意义(P>0.05)。结论闭合复位弹性髓内钉固定和经皮克氏针撬拨复位固定治疗儿童桡骨颈骨折的疗效显著,均可改善患儿术后肘关节功能,但经皮克氏针撬拨复位固定治疗的手术时间较短。
Objective To compare clinical effects of closed reduction and elastic intramedullary nailing fixation versus reduction and fixation by Kirschner wire prying in treating radial neck fracture in children.Methods The clinical data of 82 children with radial neck fracture was retrospectively analyzed.According to different surgical methods,they were divided into Kirschner wire group(n=40)and intramedullary nail group(n=42).Perioperative indicators and postoperative recovery conditions of elbow joint function were compared between the two groups.Results There were no significant differences in the amount of bleeding,length of hospital stay,and fracture healing time between the two groups(P>0.05).The operative time of the intramedullary nail group was(33.69±4.45)min,which was longer than(29.36±4.56)min in the Kirschner wire group(P<0.05).There were no significant differences between the two groups in the excellent and good rate of postoperative fracture healing,Mayo elbow function score,range of flexion,extension,pronation and postrotation activities(P>0.05).Conclusion Both closed reduction and elastic intramedullary nailing fixation as well as reduction and fixation by Kirschner wire prying can improve postoperative elbow joint function in children with radial neck fracture,but the latter has shorter operative time.
作者
易申德
蔡军
邹筠
YI Shende;CAI Jun;ZOU Yun(The Second Department of Surgery,Jiangxi Children′s Hospital,Nanchang,Jiangxi,330006;The Third Department of Surgery,Jiangxi Children′s Hospital,Nanchang,Jiangxi,330006)
出处
《实用临床医药杂志》
CAS
2021年第4期77-80,共4页
Journal of Clinical Medicine in Practice
基金
江西省卫生计生委科技计划项目(20151134)。
关键词
弹性髓内钉
克氏针
肘关节功能
桡骨颈骨折
儿童
经皮撬拨复位
elastic intramedullary nail
Kirschner wire
elbow joint function
radial neck fracture
children
reduction by prying
