摘要
目的:探讨手法整复经皮闭合穿克氏针内固定治疗儿童GartlandⅢ型肱骨髁上骨折的临床疗效。方法:选择20lO年7月至2013年7月儿童GartlandIII型肱骨髁上骨折患者60例,分为治疗组及对照组。治疗组32例,其中男18例,女14例;年龄5-11岁,平均(7.8+2.7)岁;采用传统“正骨十四法”手法整复经皮闭合穿克氏针固定。对照组28例,其中男16例,女12例;年龄4~12岁,平均(7.2±3.0)岁;采用切开复位克氏针内固定。观察和分析两组在肘关节屈伸活动范围、骨折临床愈合时间和术后6个月Flynm临床功能评定结果。结果:对照组骨折平均愈合时间(5.01±0.43)周,长于治疗组(4.29±0.29)周(t=7.49,P=0.00)。术后6个月治疗组患者肘关节活动范围(146.02+2.28)°,明显大于对照组(140.76±4.42)°(t=-5.67,P=0.00)。术后6个月Flynn临床功能评定结果,对照组优7例,良16例,可4例,差1例;治疗组优21例,良9例,可2例(U=3.09,P=0.002)。结论:手法整复闭合穿针法治疗儿童GartlandIll型肱骨髁上骨折能明显缩短骨折临床愈合时间,临床疗效较好,值得推广。
To study the clinical effect of the GartlandⅢ humerus supracondylar fractures in children by ma- nipulative reduction and Kirschner wire percataneous internal fixation. Methods:From July 2010 and July 2013,60 patients with Gartland Ⅲ humerus supracondylar fracture were selected and divided into treatment group and control group. In the treatment group 32 patients were treated with traditional bone setting tetradeca-manipulative reduction and percataneous Kirschner wire internal fixation, included 18 males and 14 females with an average age of(7.8±2.7 ) years old ranging from 5 to 11 ;in the control group 28 patients were treated with open reduction and Kirschner wire internal fixation,included 16 males and 12 females with an average age of (7.2±3.0) years old ranging from 4 to 12. The motion range of the elbow joint ,the time of fracture clinical healing, and the effect after 6 months of Flynm clinical functional assessment standards were observed and compared. Results:The average fracture healing time of the control group (5.01±0.43) weeks was longer than that of the treat- ment group (4.29_+0.29) weeks (t=7.49,P=0.00). At 6 months after treatment,the elbow motion range of the treatment group (146.02±2.28) was more than that of the control group (140.76±4.42) (t=-5.67,P=0.00). At 6 months after treatment, ac- cording to Flynn evaluation,in the control group, there were 7 cases as excellent, 16 as good,4 fair, 1 poor; in the treatment group, excellent in 21, good in 9, fair in 2 (U=3.09, P=0.002). Conclusion:Manipulative reduction and Kirschner wire per- cataneous internal fixation for treatment of children's Gartland HI humerus condyle fractures can shorten fracture clinical heal- ing time and the clinical curative effect is better.
出处
《中国骨伤》
CAS
2014年第7期583-586,共4页
China Journal of Orthopaedics and Traumatology
关键词
儿童
肱骨骨折
手法
骨科
病例对照研究
Child
Humeral fractures
Manipulation,orthopedic
Case-control studies