膝胸位固定与Pavlik 吊带固定治疗新生儿股骨干骨折疗效比较

Comparative effectiveness of fixation of elastic bandage of immobilization of knee-chest position and Pavlik harness for the treatment of femoral shaft fracture in newborns

目的:研究膝胸位弹力绷带固定与Pavlik吊带固定治疗新生儿股骨干骨折的临床疗效。方法:回顾性分析本院收治的37例新生儿股骨干骨折,膝胸位弹力绷带固定组17例,Pavlik吊带固定组20例患儿,随访24个月,比较两组住院时间、费用、并发症发生率及骨折愈合率和术后成角、旋转及短缩指标。结果:膝胸位弹力绷带固定组的住院费用低于Pavlik吊带固定组,差异具有统计学意义(P<0.05);两组住院时间、并发症发生率及骨折愈合率及术后成角、旋转及短缩指标相比,差异均无统计学意义(P>0.05)。结论:膝胸位弹力绷带固定和Pavlik吊带固定治疗新生儿股骨干骨折均为有效方法,前者费用低廉,操作简单,值得临床推广应用。

Objective: To study and analyse the clinical efficacy of fixation of elastic bandage of immobilization of knee-chest position and Pavlik harness fixation in the treatment of neonatal femoral shaft fractures. Methods: From May. 2010 to March. 2017, there are 37 cases of femoral shaft fracture of newborn and gained retrospective analysis.17 newborns with femur shaft fracture were treated by using this fixation of elastic bandage of immobilization of knee-chest position. 20 newborns were treated by utilizing Pavlik harness fixation. All patients were followed up for 24 months. It were compared between the two groups to be in length of hospitalization, hospitalization cost,incidence of complications, fracture healing rate and post-operation angulation, rotation and shortening indexes. Results: Compared with Pavlik harness fixation group, the hospitalization cost of knee-chest elastic bandage fixation group was lower cost, and P<0.05, the difference was statistically significant;There are no significant difference between the two groups in terms of length of hospitalization, complications and fracture healing. The two groups of treatment methods compared in angle formation, rotation and shortness,and P>0.05, There was no statistical difference. Conclusions: Both knee-chest elastic bandage fixation and Pavlik harness fixation are effective methods for the treatment of neonatal femoral shaft fractures. But the former is lower cost and simpler operation. It is worthy of clinical application.