早期与延迟手术治疗儿童GartlandⅢ型肱骨髁上骨折的疗效及并发症分析

Analysis of the efficacy and complications of early and delayed surgical treatment for GartlandⅢtype humeral condyle fracture in children

目的探究早期与延迟手术治疗儿童GartlandⅢ型肱骨髁上骨折的效果及并发症发生情况。方法选取2020年1月至2022年1月鹰潭市第一八四医院收治的92例GartlandⅢ型肱骨髁上骨折患儿作为研究对象,均采用闭合复位外侧经皮克氏针内固定术,根据手术时机的不同分为A组(受伤至手术时间<24 h进行早期手术治疗)、B组(受伤至手术时间≥24 h进行延迟手术治疗),各46例。比较两组手术相关指标、并发症发生情况、肘关节功能恢复情况。结果A组手术时间、术后住院时间均短于B组,差异有统计学意义(P<0.05);两组术后并发症发生率、患侧Mayo肘关节功能量表评分、肘关节活动度、Baumann角与提携角比较差异无统计学意义。结论对GartlandⅢ型肱骨髁上骨折患儿采取早期手术、延迟手术,临床疗效、手术安全性相当,但早期手术手术时间、住院时间较短,具有一定的社会经济效益。

Objective To investigate the efficacy and complications of early and delayed surgical treatment for GartlandⅢtype humeral condyle fracture in children.Methods A total of 92 children with GartlandⅢtype humeral condyle fracture admitted to the No.184 Hospital,Yingtan City from January 2020 to January 2022 were selected as the study subjects,all patients underwent closed reduction and lateral percutaneous Kirschner wire internal fixation surgery,and they were divided into the group A(early surgical treatment for injury to surgery time<24 h)and group B(delayed surgical treatment for injury to surgery time≥24 h)according to the different surgical timing,with 46 cases in each group.The surgical related indicators,incidence of complications,and recovery of elbow joint function were compared between the two groups.Results The operation time and postoperative hospitalization time in the group A were shorter than those in the group B,and the differences were statistically significant(P<0.05);there was no statistically significant difference in the incidence of postoperative complications,Mayo elbow joint function scale score,elbow joint range of motion,Baumann angle,and traction angle between the two groups.Conclusion Early and delayed surgical treatment for GartlandⅢtype humeral condyle fracture in children have comparable clinical efficacy and surgical safety,however,early surgery has shorter operation time and hospitalization time,and has certain social and economic benefits.