前臂旋前、旋后桡骨头挤压屈肘复位法治疗儿童桡骨头半脱位的效果

Effects of forearm pronation and supination with radial head compression and elbow flexion reduction in the treatment of children with radial head subluxation

目的比较前臂旋前、旋后桡骨头挤压屈肘复位法治疗儿童桡骨头半脱位的效果。方法选取2016年8月至2019年12月收治的113例桡骨头半脱位患儿作为研究对象,根据复位方法分为旋前组(n=69,旋前复位法)和旋后组(n=44,旋后复位法)。比较两组的治疗效果。结果旋前组的复位成功率为94.20%,高于旋后组的77.27%,差异具有统计学意义(P<0.05)。随访6个月,两组患儿复位后前臂旋转及肘关节屈伸功能评分比较,差异无统计学意义(P>0.05)。结论采用前臂旋前桡骨头挤压屈肘复位法治疗儿童桡骨头半脱位的复位成功率高,复位效果好,安全性高。

Objective To compare the effects of forearm pronation and supination with radial head compression and elbow flexion reduction in the treatment of children with radial head subluxation.Methods A total of 113 children with radial head subluxation who were treated from August 2016 to December 2019 were selected as the study objects.According to the reduction method,the children were divided into pronation group(n=69,pronation reduction method)and supination group(n=44,pronation reduction method).The therapeutic effects of the two groups were compared.Results The reduction success rate of the pronation group was 94.20%,which was higher than 77.27%of the supination group,and the difference was statistically significant(P<0.05).After 6 months of follow-up,there were no significant differences in the scores of forearm rotation and elbow joint flexion and extension function after reduction between the two groups(P>0.05).Conclusion Forearm pronation with radial head compression and elbow flexion reduction in the treatment of children with radial head subluxation has high reduction success rate,good reduction effect and high safety.