手法整复加闭合穿针内固定治疗肱骨髁上骨折

Treatment of Supracondylar Fracture of Humerus with Manipulative Decapitation and Internal Fixation

目的:探讨手法整复加闭合穿针内固定治疗肱骨髁上骨折的效果。方法:选择2017年3月-2019年6月治疗的肱骨髁上骨折患者86例作为对象,随机数字表分为对照组(n=43)和观察组(n=43)。对照组给予石膏外固定或切开复位内固定治疗,观察组给予手法整复加闭合穿针内固定治疗,治疗后对患者治疗效果进行评估,比较2组治疗后肘部关节功能评分、骨折愈合时间以及并发症的发生率。结果:观察组治疗后6周、12周肘部关节功能评分均高于对照组(P<0.05),观察组骨愈合时间少于对照组(P<0.05)。观察组的治疗并发症发生率低于对照组(P<0.05)。结论:将手法整复加闭合穿针内固定应用于治疗肱骨髁上骨折,效果显著,缩短了骨折的愈合时间,减少并发症的发生,安全性较高,值得推广应用。

Objective:To investigate the effect of manipulative decapitation and internal fixation on the treatment of supracondylar fracture of humerus.Methods:86 patients with supracondylar fracture of humerus treated from March 2017 to June 2019 were selected as objects,and the random number table was divided into control group(n=43)and observation group(n=43).The control group was treated with plaster external fixation or open reduction and internal fixation,while the observation group was treated with manipulative reduction and closed puncture internal fixation.After treatment,the therapeutic effect of the patients was evaluated,and the elbow joint function score,fracture healing time and incidence of complications were compared between the two groups.Results:the elbow joint function scores of the observation group at 6 and 12 weeks after treatment were higher than those of the control group(P<0.05),and the bone healing time of the observation group was lower than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The treatment of supracondylar fracture of humerus with manipulative decapulmonary fixation and internal fixation has significant effects,shortens the healing time of the fracture,reduces the occurrence of complications,and is safe and worthy of promotion.