闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折的疗效观察

The Curative Effect Observation of Closed Reduction and Percutaneous Kirschner Wire Internal Fixation for Children with Humeral Supracondylar Fracture

目的观察闭合复位经皮克氏针内固定治疗肱骨髁上骨折患儿的临床疗效。方法回顾性分析2008年2月至2012年4月重庆市开县人民医院收治的52例采用闭合复位经皮克氏针内固定治疗的肱骨髁上骨折患儿的临床资料。观察骨折愈合时间,肘关节功能恢复及后遗症情况。结果52例肱骨髁上骨折患儿术后6周均骨性愈合,平均愈合时间为(5.4±0.6)周;按照Flynn肘关节功能评价标准:优29例,良18例,可5例,差0例,优良率为90.4%;术后随访时间为3个月至1年,期间未出现肘关节僵硬、缺血性痉挛、肘内外翻等后遗症。结论闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折疗效显著,后遗症发生率较低,值得临床推广应用。

Objective To observe the clinical effect of closed reduction and percutaneous Kirschner wire fixation for children with humeral supracondylar fracture. Methods The clinical data of 52 children with humeral supracondylar fracture in Kaixian People＇s Hospital in Chongqing from Feb. 2008 to Apr. 2012 treated by closed reduction and percutaneous kirschner wire internal fixation were retrospectively analyzed. The fracture healing time,the elbow joint function recovery and sequelae were observed. Results The 52 children with humeral supracondylar fracture were all healed after 6 weeks, the average healing time was （5.4 ± 0.6） week ; by Flynn elbow function assessment criteria,29 cases were excellent, 18 cases were good,5 cases were approve,0 case was poor, the rate of excellent and good was 90.4% ; the postoperative follow-up time was 3 months-1 year,during which there was no stiff elbow,ischemic spasm,elbow varus sequela observed. Conclusion The treatment of percutaneous Kirschner wire internal fixation for children with humeral supracondylar fracture has an obvious curative eft＇ect,with low occurrence rate of sequelae,thus is worthy of clinical application.