可吸收螺钉在小儿肱骨外髁骨折中的应用

Application of absorbable screws in humerus lateral condyle fracture in children

目的：探讨可吸收螺钉用于治疗小儿肱骨外髁骨折的可行性及优缺点。方法：2009年1月1日至2010年12月31日在本院诊断为肱骨外髁骨折的手术患儿183例，其中男100例，女83例，平均年龄6．5岁。结果：183例均获得随访，随访时间6～32个月，平均16个月，根据Hardacre的疗效判定标准，发生并发症骨愈合延迟1例，其余疗效均达到优，无延迟愈合，无外髁过度生长，无肘关节内外翻等其他并发症。结论：与传统克氏针内固定术相比，小儿肱骨外髁骨折采用可吸收螺钉内固定，并发症显著下降，并未出现理论上存在的吸收钉损伤骺板引起的并发症。

Objective ：To investigate the feasibility and advantages and disadvantages of absorbable screw in the treatment of children humerus lateral condyle fractures. Methods：Clinical data of 183 children who accepted treatment of children humerus lateral condyle fractures in our hospital between January 1,2009 and December 31,2010 were analyzed, among which 100 were male, 83 were female,with an average age of 6.5 years. Results：Totally 183 children were all followed up for 6 to 32 months, with an average of 16 months. According to the outcome of Hardacre standards, all cases achieved satisfactory recovery without healing delay,lateral condyle overgrowth, cubitus valgus and varus or other complications expect one case of healing delay. Conclusion：Compared with traditional fixation by K-wires, absorbable screws can significantly decrease complications in the treatment of children humerus lateral condyle fracture without injuring the epiphyseal plate.