手法整复后小夹板结合前臂旋前位固定治疗伸直型儿童肱骨髁上骨折的效果

Observation on the Effect of Small Splint Combined with Forearm Pronation Fixation after Manual Rectification of Supracondylar Fracture of Humerus in Children with Extension and Reducing the Influence of Cubitus Varus Deformity

目的:探究手法整复后小夹板结合前臂旋前位固定治疗伸直型儿童肱骨髁上骨折的临床效果。方法:选取2020年2月—2023年11月厦门思明景元中医院医收治的113例伸直型肱骨髁上骨折儿童作为研究对象,依据不同治疗方法分为观察组(n=60)、对照组(n=53),观察组行手法整复小夹板结合前臂旋前位固定法,对照组行闭合复位克氏针固定术。比较两组临床疗效、手术前后肘关节功能、并发症发生情况。结果:术后3个月,观察组总有效率高于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组骨折愈合时间较短,出血量较少,肘关节功能评分较高,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:伸直型肱骨髁上骨折患儿采用手法整复后小夹板结合前臂旋前位固定法能提高临床治疗效果,促进肘关节功能快速恢复,缩短骨折愈合时间,减少肘内翻发生。

Objective:To explore the clinical effect of small splint combined with forearm pronation fixation in the treatment of supracondylar fracture of humerus in children with extension.Method:A total of 113 children with extended supracondyle fracture of humerus treated in Xiamen Siming Jingyuan Hospital of Traditional Chinese Medicine from February 2020 to November 2023 were selected as the study objects.According to different treatment methods,they were divided into observation group(n=60)and control group(n=53).The observation group received manual small splint combined with forearm pronation fixation,and the control group received closed reduction Kirschner pin fixation.The clinical effect,elbow joint function and complications were compared between the two groups.Result:Three months after operation,the total effective rate of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Compared with the control group,the fracture healing time in the observation group was shorter,the amount of bleeding was less,and the elbow joint function score was higher,the difference was statistically significant(P<0.05).There was no significant difference in the comparison of operation time between the two groups(P>0.05).The complication rate of observation group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion:The combination of manual small splint and forearm pronation can improve the clinical effect,promote the rapid recovery of elbow joint function,shorten the healing time of fracture and reduce the occurrence of elbow varus in children with extended humerus supracondylar fracture.