旋前复位法治疗桡骨小头半脱位疗效分析

A clinical analysis of treating radial head subluxation by the pronation reset method

目的:探讨旋前复位法治疗桡骨小头半脱位临床效果。方法:选取桡骨小头半脱位患儿140例,以随机抽样方法分为对照组和观察组,每组70例;对照组患儿给予常规旋后复位法治疗;观察组患儿则给予改良旋后复位法治疗;比较两组患儿一次复位成功率和随访牵拉肘发生率。结果:观察组患儿一次复位成功率(97.14%)显著高于对照组(71.43%)(P<0.05);观察组患儿随访牵拉肘发生率(1.43%)显著低于对照组(11.43%)(P<0.05)。结论:相较于旋后复位法,旋前复位法治疗桡骨小头半脱位可有效提高一次复位成功率,降低复位后牵拉肘再发风险。

Objective： To discuss clinical effects of the pronation reset method on radial head subluxation. Methods： 140 patients were randomly divided into two groups, 70 cases for each; the control was given the routine supination reset; while the observation was given the improved supination reset. Results： The success rate in the observation （97.14%） was obviously higher than that in the control （71.43%） （P〈0.05）; the incidence of follow-up pulling elbow in the observation （1.43%） was obviously lower than that in the control （11.43%） （P〈0.05）. Conclusion： The pronation reset method can improve success rate of reset, decrease recurrence of pulling elbow.