儿童肱骨髁上骨折不同手术方法比较研究

The Efficacy Analysis of Different Surgical Methods in Treatment of Children Supracondylar Fracture

目的:比较传统交叉钢针固定、平乐半交叉钢针固定治疗儿童髁上骨折的疗效.方法:回顾性分析从2017年1月-2018年3月收治的78例儿童肱骨髁上骨折,其中男性38例,女性40例,年龄为5-12岁,平均年龄8.0岁;传统交叉钢针固定32例、平乐半交叉钢针固定46例;2例发生肘内翻,1例发生钉道口感染,2例出现骨折移位,1例出现尺神经损伤.结果:78例患者术后获4-16个月(平均9个月)随访,参照Flynn肱骨髁上骨折的疗效判定标准将患儿肘关节的功能分为4个等级:优43例,良26例,可7例,差2例.2组手术疗效、术后并发症发生率相当,差异无统计学意义(P>0.05).结论:平乐半交叉钢针固定治疗儿童肱骨髁上骨折安全性和手术时间优于传统交叉钢针固定.

Objective:To compare the curative effect of children on the condyle fracture between traditional cross stell needle fixed and Pingle cross steel needle fixed.Methods:A retrospective analysis was conducted of the 78 cases of children on the condyle fracture who had been treated from January 2017 to March 2018 at out department.They were 38 men and 40 women,aged from 5 to 12 years,the aver age age of 8.0 years.32 of them had been fixed by traditional cross steel needle,and 46 of them had been fixed by Pingle cross steel nee dle.2cases of occurred elbow varus,1 case of nail crossing inf ection,2 cases with fracture displacement,1 case of ulnar nerve injury.Re sults:Postoperative follow-ups ranged from4 to 16 months(mean,9 months).According to the criteria proposed by Flynn humerus con dyle fracture,functional recovery of elbow was rated as excellent in 43 cases,good in 26 cases,moderate in 7 and poor in 2 cases.Two groups of operational curative effect,the incidence of postoperative complications were fairly,there was no statistically significant differ ence between them.(P>0.05).Conclusions:In the treatment of children on the condyle fracture,Pingle cross steel is safer,and opera tional time is less than traditional cross steel needle.