两种方法治疗小儿肱骨髁上骨折的疗效比较

Comparison of Curative Effect of Two Methods in Treating Children Humeral Supracondylar Fractures

目的:观察比较两种不同方法治疗儿童肱骨髁上骨折的临床疗效。方法:将80例移位肱骨髁上骨折患儿随机分为治疗组和对照组各40例,治疗组采用手法复位小夹板外固定,对照组采用交叉克氏针内固定,观察2组骨折愈合时间、肘内翻的发生率及临床疗效。结果:2组患者骨折愈合时间、肘内翻发生率分别比较,差异均无显著性意义(P>0.05),但临床疗效比较,差异有非常显著性意义(P<0.01)。结论:手法复位小夹板外固定治疗小儿肱骨髁上骨折,具有创伤小、固定牢靠、并发症低、临床疗效显著的特点。

objective： To investigate the therapeutic effects of two different methods for the treatment of displaced humeral supracondylar fractures in children. Methods： Eighty children（46 males and 34 fe- males） with displaced humeral supracondylar fractures were equally randomized into two groups. The treatment group was treated with manipulative reduction and external splint fixation, and the control group was treated with closed reduction and percutaneous internal fixation with crossed Kirschner wire. The healing time of fractures and incidence of cubitus varus in two groups were observed, and therapeutic ef- fects of two groups were compared. Results= All the patients were followed-up, and the duration of fol- low-up ranged from 6 months to 4 years, with an average of 20 months. The differences of healing time and incidence of cubitus varus between the two groups was not significant（P 〉 0.05）. But the treatment group had better therapeutic effect than the control group（P 〈 0.01）. Conclusion： Manipulative reduction and external fixation with small splint is effective for the treatment of humeral supracondylar fractures in children, which have less injury, stable fixation, and low incidence of complications.