儿童小夹板外固定不当致肢体缺血性挛缩的原因和预防

Causes and prevention of Volkmann's syndrome caused by improper external fixation of small wooden splint in children

目的分析儿童小夹板固定不当致肢体缺血挛缩的原因.方法 1978～1998年收治因小夹板外固定不当致缺血挛缩的患儿23例,男18例,女5例;上肢20例,下肢3例.根据其功能障碍情况对其中21例采用了不同手术处理.结果随访手术患儿15例,随访时间1～18年,其中仅7例功能较术前有明显改善,余8例效果差,功能恢复不明显.结论小夹板外固定不当,儿童较成人更易发生缺血挛缩,其后果更为严重,手术治疗效果差,因此预防是关键.

ve To analyses the causes of Volkmann's syndrome resulted from improper use of ex-ternal fixation of small wooden splint in children. Methods From 1978 to 1998,23 cases(18 males and 5 fe-males) of Volkmann's syndrome caused by improper external fixation of small wooden splint were encoun-tered. The syndrome occurred in the upper limbs in 20 cases and 3 in the lower limbs. The 21 cases were treat-ed with different operation methods according to their individual conditions. Results The follow-up duration of 15 cases ranged from 1 to 18 years. 7 cases had remarkable improvement and 8 cases had poor results without functional recovery. Conclusion Inproper external fixation with small wooden splint can cause Volkmann's syn-drome, especially in children and the consequence is serious. To this kind of patients, operation treatment re-sulted in poor effect and the important point is prevention.