低温热塑板在儿童前臂骨折愈合中晚期的临床应用

Clinical application of low-temperature thermoplastic plates in middle-late healing in children with forearm fracture

目的:观察低温热塑板在儿童前臂骨折愈合中晚期应用的疗效。方法:选取无锡市儿童医院儿骨科自2016年1月至2017年5月收治的80例尺桡骨骨折患者,随机分成低温板材组与传统石膏组,每组40例。两组均早期予骨折手法整复,后予传统石膏固定治疗,3周后低温板材组拆除石膏,改予低温热塑板固定。6周后拆除外固定。拆除外固定后评估两组前臂功能。结果:根据Anderson评分系统,骨折后6周低温板材组评分情况为优37例(92.5%),良3例(7.5%),可0例(0%),差0例(0%);传统石膏组评分情况为优30例(75%),良8例(20%),可2例(5%),差0例(0%)。两者比较差异有统计学意义(P<0.05)。结论:低温热塑板较传统石膏在儿童前臂骨折愈合中晚期的应用有明显的优势,值得推广应用。

Objective： To observe the curative effect of low temperature thermoplastic plate in children with forearm fracture middle-late healing. Methods： A total of 80 patients with ulna and radial fracture were recruited from pediatric orthopedics of Wuxi Children＇s Hospital from January 2016 to May 2017. The patients were randomly divided into a low-temperature thermoplastic group and a traditional gypsum group, with 40 cases in each group. All groups underwent manipulative reduction and Gypsum fixation. After 3 weeks, the gypsum of the low temperature plate group was removed and replaced with a low temperature thermoplastic plate. External fixations were all removed in the two groups after 6 weeks and evaluate the function of the forearm. Results： According to the Anderson scoring system, the score of low-temperature plate group was that the excellent had 37 cases（92.5%）, the good 3 cases（7.5%）, and the average and the poor none. Traditional gypsum score was that the excellent had 30 cases（75%）, the good 8 cases（20%）, the average 2 cases（5%）, and the poor 0 case（0%）. There is a significant difference between the two groups（P〈0.05）. Conclusion： The low temperature thermoplastic plate has obvious advantages over traditional gypsum in the middle and late stage of fracture healing of forearm, and it is worth popularizing and applying.