手法整复夹板固定治疗小儿肱骨髁上骨折45例疗效观察

Clinical Observation of 45 Cases of Manipulative Reduction and Splint Fixation for the Treatment of Supracondylar Fracture of Humerus in Children

目的：研究观察手法整复夹板固定在小儿肱骨髁上骨折中的临床应用价值。方法选择于2010年12月～2012年11月在我院接受治疗的肱骨髁上骨折患儿90例，随机分成对照组和观察组各45例，对照组患儿通过手法整复后应用石膏固定，观察组患儿通过手法整复后应用小夹板固定，治疗后随访观察两组患儿治疗的优良率与并发症的发生率。结果治疗后对患儿的随访显示观察组的治疗优良率为91.1%，显著高于对照组的77.8%，两组比较差异显著（P ＜0.05），具有统计学意义；同时观察组患肢肿胀、肌肉萎缩、肘内翻畸形等并发症的发生率为4.4%，大幅低于对照组的15.6%，比较差异显著（P ＜0.05），具有统计学意义。结论小儿肱骨髁上骨折通过手法整复夹板固定治疗疗效显著，能够促进患儿早期展开功能锻炼，降低并发症的发生率，同时具有容易换药的优点，值得临床推广使用。

Objective To study the clinical application value of manipulative reduction and splint ixation for supracondylar fracture of humerus in children. Methods 90 cases of condyle humerus fractures in our hospital for treatment from December 2010 to November 2012 were randomly divided into control group and observation group, 45 cases in each group, the patients in the control group underwent manipulative reduction and plaster ixation, the observation group were applied technique with small splint ixation. Excellent good rate and complication incidence of treatment of the two groups were followed up after treatment. Results After treatment, the excellent and good rate was 91.1% in the observation group, which was signiicantly higher than the control group （77.8%）, the difference between the two groups was signiicant （P〈0.05）, with statistical signiicance. At the same time,the limb swelling, muscle atrophy, cubitus varus deformity and the incidence of complications in observe group was 4.4%,which was signiicantly lower than the control group（15.6%）, there was signiicant difference （ P〈0.05）. Conclusion Using manipulative reduction and splint ixation to treat supracondylar fracture of humerus in children has obvious curative effect, it can promote early expansionfunction exercise in children, reduce the incidence of complications, and has the advantages of easy dressing.